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Pennsylvania rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.22 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.87 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
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 / $0.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.25 / $2.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.61
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $1.06