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Illinois rates for HCPCS J1569

Injection, immune globulin, (Gammagard liquid), nonlyophilized, (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $109.65 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $61.66 / $8,511.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $128.82 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $97.72 / $199.53
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
$58.88 / $58.88 / $58.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $52.48 / $53.70