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Illinois rates for HCPCS J1790

Injection Droperidol Up To 5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.04 / $26.99 / $87.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $7.63 / $7.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.33 / $28.62 / $154.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $7.63 / $7.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $10.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $11.21 / $46.51
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
$9.92 / $9.92 / $9.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $8.57 / $12.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $7.63 / $8.57