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Oregon 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 / $3.20 / $5.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.63 / $5.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $3.54 / $5.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $5.68 / $6.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $3.73 / $5.61
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.76 / $3.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $3.26 / $7.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $3.54 / $5.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $3.08 / $3.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $4.01 / $9.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $3.00