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Illinois rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $34.00 / $49.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $20.99 / $22.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.36 / $92.55 / $458.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $20.99
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $27.29 / $66.25
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
$27.29 / $27.29 / $27.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $21.62