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Illinois rates for HCPCS J0470

Dimecaprol Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $103.97 / $171.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $63.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.40 / $132.07 / $632.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $54.55 / $54.55
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $42.72 / $200.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.42 / $56.42 / $59.86