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Illinois rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,940.17 / $4,930.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,684.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.32 / $343.23 / $27,710.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.35 / $3,085.78 / $3,095.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,429.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,974.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,172.03 / $3,401.85 / $5,362.80
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
$3,158.86 / $3,158.86 / $3,158.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,441.48 / $3,418.09 / $3,662.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,575.67 / $2,772.60