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Illinois rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $19.32 / $76.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.75 / $1.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $2.74 / $11.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.93 / $2.97
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
$2.27 / $2.27 / $2.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.75 / $2.66