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Illinois rates for HCPCS J1437

Injection, ferric derisomaltose, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.95 / $38.54 / $2,016.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.95 / $22.02 / $27.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.40 / $93.81 / $464.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $22.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.77 / $33.03 / $91.09
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
$28.63 / $28.63 / $28.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.02 / $22.02 / $29.44