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North Carolina rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.81 / $0.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.86
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $0.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.07 / $1.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.26
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $100.00 / $100.00