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Kentucky 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 / $2.61 / $4.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.08 / $5.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.61 / $2.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.82 / $4.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.87 / $4.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $2.61 / $2.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $4.76 / $4.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61