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Arizona rates for HCPCS J0742

Injection Imipenem 4 Mg Cilastatin 4 Mg And Relebactam 2 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $5.22 / $7.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $3.16 / $5.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $9.02 / $13.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.52 / $16.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.61 / $2.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.44 / $75.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61