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Washington rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $12 · 10th–90th $7$180%20%10th90th$12Professionalmedian $7 · 10th–90th $7$90%50%90th$7$5.0$10.0$20.0$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 / $12.30 / $17.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $7.76
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $11.48 / $21.38
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $11.75 / $11.75
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.13 / $8.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $6.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.41
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.08 / $8.13