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Illinois rates for HCPCS J0702

Injection Betamethasone Acetate And Betamethasone Sodium Phosphate Per 3 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.63 / $40.92 / $116.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $13.22 / $40.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $6.89 / $6.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $21.52 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $9.05 / $9.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $9.74 / $27.93
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
$9.05 / $9.05 / $9.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $10.06