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Illinois rates for HCPCS J1100

Injection Dexamethasone Sodium Phosphate 1mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $18.46 / $78.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $1.26 / $8.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.85 / $8.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.16 / $2.46
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
$0.12 / $0.12 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.12