go back

Illinois rates for HCPCS J7503

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

Facilitymedian $3 · 10th–90th $2–$250%10%10th90th$3Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $3.24 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.51 / $2.40
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $4.47 / $17.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.29 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.47 / $4.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.14
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $4.90 / $7.76
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.51 / $2.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $3.02 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.86 / $2.00