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South 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
$2.74 / $2.74 / $11.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.74 / $4.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $2.82 / $4.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.03 / $3.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.61 / $2.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $3.03 / $6.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $4.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61