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Wyoming rates for HCPCS J0743

Injection, cilastatin sodium; imipenem, per 250 mg

Facilitymedian $12 · 10th–90th $7–$240%20%40%10th90th$12Professionalmedian $14 · 10th–90th $7–$140%50%10th$14$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.91 / $8.91
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
$7.08 / $7.08 / $7.41