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New York rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.76 / $0.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.70 / $0.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.85 / $1.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.93 / $0.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.20 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.84 / $1.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.93 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $3.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.57
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.57