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Illinois rates for HCPCS J0706

Injection Caffeine Citrate 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $2.35 / $4.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $7.90 / $19.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $3.38 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.66