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South Carolina rates for HCPCS J1267

Doripenem Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $3.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.81 / $0.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.15 / $1.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.90 / $1.08
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.67 / $0.78 / $1.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81