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Illinois rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $21.58 / $193.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.18 / $50.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.12 / $12.48 / $28.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $3.66 / $18.57
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
$2.63 / $2.63 / $2.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $3.64