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Illinois rates for HCPCS J1364

Erythro Lactobionate /500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $106.51 / $213.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $66.56 / $90.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $46.87 / $1,060.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $64.62
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.16 / $77.54 / $350.45
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
$84.01 / $84.01 / $84.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.62 / $64.62 / $116.32