go back

Illinois rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $12 · 10th–90th $7$240%20%10th90th$12Professionalmedian $7 · 10th–90th $7$180%50%90th$7$10.0$20.0$50.0$100.0$200.0

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 / $12.30 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.30
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $35.48 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $11.75 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $18.62 / $51.29
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.59