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Utah rates for HCPCS J1267

Doripenem Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.96 / $1.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $0.81 / $0.81