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Illinois rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $2.75 / $14.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $3.10 / $17.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.27 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $2.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.75 / $7.05
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
$2.38 / $2.38 / $2.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.52 / $2.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.91