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Illinois rates for HCPCS J1557

Gammaplex Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.47 / $111.44 / $174.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.47 / $63.68 / $75.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $237.97 / $1,050.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $63.68 / $63.68
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $93.25 / $138.03
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
$82.78 / $82.78 / $82.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.68 / $71.31 / $73.09