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Oregon rates for HCPCS J0742

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

Facilitymedian $3 · 10th–90th $3–$50%20%10th90th$3Professionalmedian $3 · 10th–90th $2–$30%20%40%10th90th$3$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
$2.57 / $3.80 / $6.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.55 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $6.46 / $6.92
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.75 / $3.24
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.75 / $3.39
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $5.37
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.55 / $7.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.82 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $4.07 / $9.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57