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Illinois rates for HCPCS 82415

Chloramphenicol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.91 / $25.34 / $34.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.90 / $28.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.60 / $41.16 / $133.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.24 / $30.71 / $58.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $15.28 / $19.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.30 / $24.51 / $100.00
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
$16.47 / $16.47 / $16.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.66 / $8.69 / $15.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.32 / $7.77 / $12.67