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Ohio rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $13 · 10th–90th $7$210%10%10th90th$13Professionalmedian $7 · 10th–90th $7$130%50%10th90th$7$0.1$0.5$2.0$10.0$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 / $12.02 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $13.49 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.41 / $12.88
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $13.49 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $7.08
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $17.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.23 / $14.45
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $10.72 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $8.13