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South Carolina rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $14 · 10th–90th $7–$300%20%10th90th$14Professionalmedian $7 · 10th–90th $7–$110%50%90th$7$10.0$20.0

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 / $14.45 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $11.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $20.89 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.76 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $10.00 / $21.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.55