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Illinois rates for HCPCS J9019

Erwinaze Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.96 / $544.91 / $863.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $386.96 / $411.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,180.22 / $2,359.15 / $8,309.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $411.15 / $411.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $411.15 / $461.46
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.47 / $808.46 / $956.44
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
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $427.26 / $448.71