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California 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
$2.61 / $5.22 / $5.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.63 / $5.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.68 / $4.17 / $9.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $7.36
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.88 / $5.74
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $7.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $3.13 / $5.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.61 / $3.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $5.65
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.01
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.87 / $4.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $5.56