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Illinois rates for HCPCS J0490

Belimumab Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.01 / $95.82 / $197.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.01 / $56.07 / $77.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.22 / $250.99 / $976.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $56.07
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.04 / $65.92 / $122.96
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
$72.89 / $72.89 / $72.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.70 / $90.70 / $90.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.07 / $56.07 / $59.49