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Illinois rates for HCPCS J9211

Idarubicin Hydrochloride 5 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.04 / $44.37 / $74.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $37.04 / $44.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.51 / $290.39 / $739.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.67 / $36.67 / $36.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $36.67 / $54.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $53.20 / $308.97
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
$47.67 / $47.67 / $47.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.51 / $60.91 / $65.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.67 / $38.86 / $45.84