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Illinois rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.95 / $3.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.51 / $2.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.82 / $11.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $120.23 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $0.93 / $1.00