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Florida rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $11.75 / $33.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $10.25 / $11.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $10.25 / $10.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $10.25 / $13.74
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.83 / $10.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $15.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $6.97 / $10.25