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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
$14.12 / $25.10 / $36.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $14.34 / $17.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.67 / $57.54 / $245.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $14.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $18.64 / $72.30
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
$18.64 / $18.64 / $18.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $16.05 / $19.17