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Kansas 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
$2.66 / $3.03 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.82 / $3.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $3.26 / $3.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.03
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.86 / $3.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.61 / $2.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.94