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Illinois rates for HCPCS J1302

Enjaymo IV SOLN 1100 MG/22ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $28.02 / $47.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.86 / $21.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $18.86
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $19.94 / $120.00
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
$24.52 / $24.52 / $24.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $18.86 / $20.01