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West Virginia rates for HCPCS J1267

Injection, doripenem, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.81 / $0.81
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.57 / $1.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $3.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.95