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Illinois rates for HCPCS J3310

Injection, perphenazine, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $12.17 / $20.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.01 / $7.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.40 / $11.16 / $46.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $4.00 / $6.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $27.17 / $120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $1.78 / $1.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.97