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Illinois rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $53.87 / $93.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.90 / $43.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.39 / $116.22 / $488.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $35.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.96 / $42.56 / $67.72
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
$46.22 / $46.22 / $46.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.54 / $37.90