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Illinois rates for HCPCS J9274

Injection, tebentafusp-tebn, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $249.65 / $401.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $238.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.63 / $325.63 / $325.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.17 / $243.17 / $276.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.09 / $217.09 / $217.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $217.09 / $251.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.24 / $325.64 / $709.78
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
$282.22 / $282.22 / $282.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.76 / $300.66 / $322.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.09 / $229.59 / $243.14