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Illinois rates for HCPCS J9130

Dacarbazine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $7.24 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.07 / $15.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $13.49 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.27 / $4.27 / $4.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $5.37
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $16.60 / $28.84
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
$4.47 / $4.47 / $4.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $5.25 / $5.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $7.41 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.37 / $6.61