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Idaho rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $7 · 10th–90th $6–$160%20%10th90th$7Professionalmedian $7 · 10th–90th $7–$80%50%90th$7$5.0$10.0$20.0$50.0

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
$7.08 / $7.08 / $8.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $12.30 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $7.08 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $8.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.08 / $8.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.94
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $10.23