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Illinois rates for HCPCS J0735

Injection Clonidine Hydrochloride 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.46 / $31.80 / $124.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.67 / $18.17 / $21.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.28 / $152.25 / $390.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $18.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $34.61 / $117.72
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
$23.62 / $23.62 / $23.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $24.29