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Colorado rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $15.49 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $14.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $13.80 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $6.76 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $61.66 / $61.66
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08