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Illinois rates for HCPCS J1569

Gammagard Liquid Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.80 / $96.56 / $10,774.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $47.78 / $3,712.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.00 / $128.96 / $576.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $45.31 / $45.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.82 / $93.06 / $156.63
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
$58.90 / $58.90 / $58.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.31 / $50.75 / $52.02