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Illinois rates for HCPCS G9017

Amantadine Hcl 100mg Oral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.12 / $1.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00