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Nebraska rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $8 · 10th–90th $7–$140%20%40%10th90th$8Professionalmedian $7 · 10th–90th $7–$220%20%40%10th90th$7$10.0$20.0$50.0$100.0

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 / $10.96 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $9.55 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $7.08 / $7.94
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.76 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.24 / $9.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $18.20 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $10.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $8.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $8.91 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.08 / $10.72