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Illinois rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $1.99 / $3.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.23 / $1.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $4.76 / $23.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.32 / $5.09
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
$1.60 / $1.60 / $1.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.31