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Illinois rates for HCPCS J0280

Injection, aminophylline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $19.05 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.00 / $17.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $44.67 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $14.13 / $26.30
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
$13.49 / $13.49 / $13.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $11.75