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Illinois rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $29.51 / $45.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $24.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $89.13 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $33.88 / $70.79
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
$27.54 / $27.54 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $20.89 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $19.95