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Wisconsin rates for HCPCS C9075

Injection, casimersen, 10 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $380.19 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $177.83 / $199.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $831.76 / $831.76