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Virginia rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $12 · 10th–90th $7–$200%20%10th90th$12Professionalmedian $7 · 10th–90th $6–$110%50%10th90th$7$0.1$0.5$2.0$10.0

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 / $13.18 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $10.72
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $10.96 / $16.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.08 / $18.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $12.30 / $17.78
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $9.33 / $12.02
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $9.33 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.08 / $9.12