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Wyoming rates for HCPCS J0742

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

Facilitymedian $5 · 10th–90th $3–$100%20%40%10th90th$5Professionalmedian $3 · 10th–90th $3–$30%50%10th$3$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.57 / $2.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.16 / $3.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $3.63 / $3.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $5.01 / $5.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.57 / $2.57