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Ohio rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.97 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $2.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $1.32 / $2.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
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 / $1.27
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.10 / $1.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.88