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Illinois rates for HCPCS J1454

Inj fosnetupitant, palonoset

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.35 / $788.26 / $1,224.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $581.26 / $725.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.75 / $998.75 / $998.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.32 / $1,693.65 / $8,077.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.00 / $824.44 / $931.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.50 / $575.50 / $575.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $575.50 / $759.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.95 / $863.25 / $1,675.26
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
$748.15 / $748.15 / $748.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.88 / $886.03 / $949.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.50 / $610.03 / $640.65