go back

Illinois rates for HCPCS J9185

Fludarabine Phosphate 50 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.65 / $93.15 / $144.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.88 / $86.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.53 / $59.53 / $59.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.39 / $466.43 / $1,453.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.00 / $222.18 / $250.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.20 / $68.20 / $68.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.20 / $105.60
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $165.25 / $568.10
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
$88.66 / $88.66 / $88.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.53 / $83.34 / $89.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.53 / $98.22 / $98.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $72.29 / $82.52