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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
$5.73 / $22.29 / $92.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $6.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.70 / $26.53 / $65.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $4.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $9.11 / $26.24
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
$6.21 / $6.21 / $6.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.78 / $6.39