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Kansas rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $12.38 / $30.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $11.07 / $14.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.26 / $9.72 / $10.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.08 / $11.08 / $11.08
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.11 / $10.61 / $17.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $6.97 / $11.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $16.39