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Illinois rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.33 / $414.22 / $676.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $292.33 / $363.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.86 / $1,080.89 / $3,352.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.61 / $310.61 / $310.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $264.70 / $599.83
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $327.04