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Kentucky rates for HCPCS J0743

Cilastatin Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $10.25 / $17.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $10.25 / $10.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $12.09 / $12.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.25 / $10.25
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $11.25 / $16.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.76 / $15.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $10.25 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $10.25 / $23.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25