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Illinois rates for HCPCS J0742

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

Facilitymedian $4 · 10th–90th $3–$70%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$2.0$5.0$10.0$20.0$50.0$100.0$200.0

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
$2.57 / $4.37 / $6.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.39
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.23 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $4.79 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $10.47 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $4.17 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.57 / $2.69