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Illinois rates for HCPCS J0743

Cilastatin Sodium Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.97 / $14.86 / $24.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $10.25 / $10.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.66 / $37.27 / $138.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $10.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $15.38 / $47.23
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
$13.33 / $13.33 / $13.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.25 / $10.25 / $13.70