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Minnesota 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 / $5.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $5.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.99 / $5.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.61 / $2.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.72 / $8.11 / $9.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.99 / $3.24
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $7.41 / $9.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $3.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.61 / $4.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $4.73