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Illinois rates for HCPCS Q9991

Injection Buprenorphine Extended-Release (Sublocade) Less Than Or Equal To 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $3,528.74 / $6,621.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,996.32 / $2,016.42 / $2,240.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,076.92 / $7,757.54 / $38,442.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,476.30 / $2,016.42 / $2,918.15
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
$2,621.35 / $2,621.35 / $2,621.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,016.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.42 / $2,016.42 / $2,210.67