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West Virginia rates for HCPCS J0742

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

Facilitymedian $3 · 10th–90th $2–$30%50%10th90th$3Professionalmedian $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
$2.00 / $2.57 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $3.80 / $4.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.57 / $3.02