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Illinois rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $9.12 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $9.55 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.37
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $5.75 / $9.77
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
$7.08 / $7.08 / $7.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $4.47 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.37 / $5.89