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Virginia 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 / $2.99 / $5.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.74 / $2.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $5.51 / $8.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.44 / $3.91 / $5.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $2.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.03 / $3.13
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $2.61 / $4.17
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $2.58 / $3.34
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.58 / $3.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.61 / $3.03