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Illinois rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $5.67 / $11.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.45 / $11.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.27 / $21.33 / $75.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $5.72 / $5.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.57
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $6.60 / $11.45
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
$5.79 / $5.79 / $5.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $6.10 / $6.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.72 / $5.38