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Illinois rates for HCPCS J1700

Injection Hydrocortisone Acetate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $2.09 / $3.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $2.69 / $11.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $16.30 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.38