go back

Washington rates for HCPCS J0742

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

Facilitymedian $4 · 10th–90th $3–$50%20%10th90th$4Professionalmedian $2 · 10th–90th $2–$30%50%90th$2$2.0$5.0$10.0

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 / $4.47 / $5.37
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.47
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.40 / $3.31 / $7.76
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $3.16
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $5.37
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.75 / $8.32
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $2.75 / $2.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.24 / $7.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $4.17 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.57 / $2.57
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $3.39