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South Carolina rates for HCPCS J0742

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

Facilitymedian $4 · 10th–90th $2–$110%10%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$40%50%90th$2$2.0$5.0$10.0$20.0

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 / $3.63 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.17
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $2.69 / $5.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.02 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $3.72 / $6.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.75 / $3.02 / $7.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.57 / $3.02