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Illinois rates for HCPCS J0130

Injection Abciximab 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.26 / $2,620.87 / $4,335.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.26 / $1,294.26 / $1,375.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,947.48 / $7,332.42 / $27,794.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.07 / $1,429.07 / $1,429.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $1,617.32 / $2,007.37
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,388.63 / $1,388.63 / $1,473.34