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Illinois rates for HCPCS J1559

Injection, immune globulin (Hizentra), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $25.12 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $20.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $56.23 / $165.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $22.91 / $97.72
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
$18.62 / $18.62 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $14.45 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $16.22 / $16.60