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Mississippi rates for HCPCS J0743

Cilastatin Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $10.76 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.76 / $13.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $10.25 / $10.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.84 / $10.25 / $13.33