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Illinois rates for HCPCS J1743

Injection Idursulease 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $839.77 / $1,457.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.55 / $676.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$735.88 / $1,499.77 / $6,899.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $558.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.03 / $642.23 / $1,206.90
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
$726.00 / $726.00 / $726.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.46 / $581.38