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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
$9.01 / $15.77 / $30.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.02 / $10.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.78 / $55.86 / $159.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $9.01
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $15.95 / $52.48
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
$11.71 / $11.71 / $11.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.01 / $9.01 / $12.05