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Illinois rates for HCPCS C9293

Injection Glucarpidase 10 Units(Voraxaze)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.04 / $850.83 / $1,390.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $415.04 / $440.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00