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Illinois rates for HCPCS J9340

Thiotepa 15 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.20 / $548.41 / $6,370.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.17 / $317.08 / $318.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.40 / $252.40 / $252.40