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Illinois rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.03 / $2.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.63 / $0.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $7.77 / $20.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.13 / $7.87
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
$0.82 / $0.82 / $0.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $1.12