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Illinois rates for HCPCS J9302

Injection Ofatumumab 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $86.88 / $133.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $57.92 / $64.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.25 / $233.90 / $960.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.54 / $61.54 / $61.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $61.54 / $70.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.65 / $133.25 / $164.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $63.96 / $68.56