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Illinois rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$879.59 / $1,409.85 / $2,421.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.58 / $933.53 / $1,112.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,150.90 / $3,274.30 / $9,187.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,001.02 / $1,001.02 / $3,121.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.20 / $1,213.88 / $1,769.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $1,362.91 / $2,111.30
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
$40.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $1,341.49