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Georgia rates for HCPCS J0743

Cilastatin Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $10.25 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $10.25 / $10.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $11.12 / $11.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $10.25 / $10.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $10.25 / $20.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.67 / $9.67 / $10.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $23.69 / $23.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $17.12