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Nebraska rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.66 / $2.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.95 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.99 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.88 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.44 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.84 / $1.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.93 / $1.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.81 / $0.89