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Illinois rates for RC 0250

Pharmacy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.36 / $199.36 / $199.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,860.00 / $2,146.00 / $3,929.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $120.00 / $345.40
Molina
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $847.61 / $16,765.79