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Missouri rates for HCPCS J0742

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

Facilitymedian $3 · 10th–90th $2–$70%10%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$40%20%10th90th$3$1.0$2.0$5.0$10.0$20.0$50.0

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
$2.00 / $3.02 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.45 / $4.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $4.47 / $6.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.63 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $4.57 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $3.02 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.63 / $3.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.39 / $3.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.57 / $3.02