go back

North Dakota rates for HCPCS J1267

Doripenem Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.95 / $0.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.76 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.95 / $1.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.81 / $0.91