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Illinois rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $6.04 / $94.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.48 / $4.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $13.40 / $50.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.30 / $4.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $5.43
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $8.36 / $24.54
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
$4.49 / $4.49 / $4.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $6.30 / $6.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.66 / $6.37