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Indiana rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $10 · 10th–90th $7–$200%20%10th90th$10Professionalmedian $7 · 10th–90th $6–$130%50%10th90th$7$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 / $16.60 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $16.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $9.55 / $14.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $12.30
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $15.49 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $14.13