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Illinois rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $3.89 / $4.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.31 / $2.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $5.58 / $23.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $2.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $10.87 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.11 / $2.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.54