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Colorado 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 / $5.19 / $6.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.77 / $3.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $4.63 / $8.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $3.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.76 / $4.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.87 / $4.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61