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Illinois rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $97.57 / $213.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.91 / $82.08 / $90.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.27 / $264.07 / $1,259.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.83 / $84.83 / $105.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.98 / $82.07 / $82.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $82.07 / $92.92
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $123.12 / $228.03
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
$106.70 / $106.70 / $106.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $76.53 / $112.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $86.80 / $93.27