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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
$81.28 / $123.03 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $109.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $229.09 / $1,258.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $95.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $169.82 / $245.47
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
$107.15 / $107.15 / $107.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $81.28 / $112.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $85.11 / $91.20