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Wisconsin rates for HCPCS J0742

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

Facilitymedian $3 · 10th–90th $3$80%20%10th90th$3Professionalmedian $3 · 10th–90th $2$50%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
$2.69 / $3.89 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $4.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $3.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $6.17 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.31 / $4.79
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $5.75
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $5.25 / $5.25
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $5.75
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $4.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.63 / $2.63
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.95 / $8.71
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $4.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $5.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $3.55