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North Carolina 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
$2.38 / $2.58 / $4.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.58 / $3.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $5.86 / $7.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $3.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $3.11 / $3.33
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.38 / $2.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $3.45
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $75.00 / $85.00