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Virginia rates for HCPCS J1267

Doripenem Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.88 / $1.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $1.86 / $2.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $0.85
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.95 / $0.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.95 / $1.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.81 / $0.95