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Illinois rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,693.14 / $2,725.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.14 / $1,045.15 / $1,265.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.00 / $1,873.32 / $9,283.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,045.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.12 / $1,358.70 / $2,116.82
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
$1,358.70 / $1,358.70 / $1,358.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.55 / $1,721.86 / $1,721.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,045.15 / $1,346.40