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Illinois rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $41.69 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $147.91 / $436.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $33.11
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $151.36 / $245.47
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
$33.11 / $33.11 / $33.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $33.88 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $40.74 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $26.30 / $27.54