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Texas rates for HCPCS J1267

Doripenem Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.86 / $1.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.78 / $1.05
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.88 / $1.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.71 / $1.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.88 / $1.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.88 / $0.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.14