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Illinois rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $18.20 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.27 / $8.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $28.18 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $11.48 / $30.90
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
$6.17 / $6.17 / $6.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $8.32 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $5.37