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Arizona rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $17 · 10th–90th $8–$510%10%10th90th$17Professionalmedian $7 · 10th–90th $7–$200%50%90th$7$5.0$10.0$20.0$50.0$100.0

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
$11.48 / $13.18 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $30.90 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $13.49 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $10.47 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $10.96 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $6.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.41