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Illinois rates for HCPCS J1555

Injection Immune Globulin (Cuvitru) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $29.13 / $45.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $17.35 / $21.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.93 / $77.97 / $289.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $16.84 / $16.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.61 / $24.42 / $94.08
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
$21.89 / $21.89 / $21.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $16.82 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $18.86 / $19.32