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Wisconsin rates for HCPCS C9075

Injection, casimersen, 10 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.79 / $378.29 / $536.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.43 / $162.15 / $196.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.00 / $824.00 / $824.00