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Illinois rates for HCPCS J2358

Injection, olanzapine, long-acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $4.73 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $17.78 / $56.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $2.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $4.38 / $13.13
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
$3.80 / $3.80 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.10