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Wisconsin rates for HCPCS J1267

Injection, doripenem, 10 mg

Facilitymedian $1 · 10th–90th $1–$30%20%10th90th$1Professionalmedian $1 · 10th–90th $1–$10%20%40%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.82 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $1.00 / $1.29
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.87 / $1.41
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.32
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.87 / $1.41
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $1.12
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.69 / $0.69 / $0.95
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.65 / $1.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81