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Illinois rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $22.39 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $25.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $34.67 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $28.18 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $14.45 / $19.05
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $25.12 / $128.82
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $12.59 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $9.33 / $12.59