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Washington rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.29 / $1.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.81 / $0.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $1.07 / $2.21
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.95 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $3.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.08
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $1.01 / $1.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.53 / $1.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.97