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Illinois rates for HCPCS J9246

Injection Melphalan (Evomela) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $26.06 / $40.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $18.50 / $21.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.52 / $72.61 / $359.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $35.82 / $103.20
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
$24.05 / $24.05 / $24.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.89 / $18.89 / $19.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $19.61 / $24.73