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Nevada rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $13.24 / $22.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $16.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.38 / $10.76 / $32.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $6.97 / $10.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $11.12 / $14.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25