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Illinois rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $824.52 / $1,355.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $519.52 / $629.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.60 / $888.80 / $5,814.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $508.96
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.40 / $559.86 / $824.81
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
$661.65 / $661.65 / $661.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $508.96 / $540.01