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Illinois rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $14.79 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $14.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $52.48 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $20.42 / $74.13
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
$11.75 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $9.33