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Illinois rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Facilitymedian $107 · 10th–90th $51–$1740%10%20%10th90th$107Professionalmedian $52 · 10th–90th $51–$680%50%10th90th$52$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $107.15 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $52.48 / $67.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $131.83 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $109.65 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $93.33 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $57.54