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New Jersey 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 / $3.68 / $7.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.80 / $3.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.58 / $2.61 / $2.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $3.03