go back

Alaska rates for HCPCS J0742

Injection, imipenem 4 mg, cilastatin 4 mg and relebactam 2 mg

Facilitymedian $3 · 10th–90th $3–$70%50%90th$3Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$2.0$5.0$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $4.79
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $8.32
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $6.61
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.79 / $4.79 / $6.92
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.82 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $5.25