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Illinois rates for HCPCS J7604

Acetylcysteine Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.00 / $83.00 / $83.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.32 / $61.93 / $100.00
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
$1.17 / $1.17 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97