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Illinois rates for HCPCS J9153

Injection Liposomal 1 Mg Daunorubicin And 2.27 Mg Cytarabine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.09 / $308.33 / $515.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.09 / $256.08 / $281.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.20 / $945.18 / $4,507.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.95 / $306.01 / $306.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.08 / $256.08 / $256.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $256.08 / $299.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.93 / $358.53 / $730.05
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
$332.92 / $332.92 / $332.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.02 / $348.63 / $373.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.08 / $271.45 / $302.19