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Connecticut rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $11.12 / $28.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.66 / $10.66 / $10.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.00 / $17.17 / $30.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $11.12 / $12.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $10.25 / $17.13