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Illinois rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $321.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $165.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.35 / $778.73 / $2,718.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.91 / $158.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $158.91 / $158.91
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.72 / $158.91 / $211.22
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
$206.60 / $206.60 / $206.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $237.49