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Illinois rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $2.27 / $3.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.98 / $1.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $5.58 / $23.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.65 / $3.65 / $3.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $2.34 / $200.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.37 / $1.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.60 / $1.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.61