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Illinois rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $738.32 / $881.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $436.51 / $583.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.20 / $314.04 / $5,608.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $432.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.73 / $432.02 / $626.42
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
$561.63 / $561.63 / $561.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $432.02 / $476.71