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Illinois rates for RC 0250

Pharmacy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,137.96 / $4,073.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $199.53 / $346.74
Molina
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $588.84 / $6,309.57