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Minnesota rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $14 · 10th–90th $7–$240%20%10th90th$14Professionalmedian $7 · 10th–90th $6–$80%50%10th90th$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 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $14.45 / $14.45
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $7.08 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $23.99 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $8.51 / $9.12
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $22.39 / $26.92
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $9.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $11.75 / $19.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $9.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.24 / $14.79