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Illinois rates for HCPCS J3396

Injection Verteporfin 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $17.78 / $30.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.65 / $1,711.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.79 / $31.55 / $144.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $13.00 / $40.99
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
$15.00 / $15.00 / $15.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $11.53 / $11.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $12.24