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Wisconsin rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $10 · 10th–90th $7$210%20%10th90th$10Professionalmedian $7 · 10th–90th $6$160%20%40%10th90th$7$10.0$20.0$50.0$100.0

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
$7.24 / $10.72 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $16.98 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $9.12 / $13.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $10.23 / $22.91
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $20.42 / $20.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.31 / $6.92 / $15.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $6.92 / $16.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $9.77 / $30.90
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $10.47
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 / $10.72