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Wisconsin rates for HCPCS J0517

Inj., benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.53 / $327.85 / $386.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $169.53 / $445.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.74 / $304.49 / $367.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $236.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.34 / $225.34 / $263.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.59 / $209.63 / $465.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.39 / $264.35 / $300.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.35 / $168.13 / $362.83
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.20 / $329.18 / $329.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.35 / $168.13 / $417.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.13 / $168.13 / $329.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $85.00 / $163.30
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.35 / $168.13 / $362.83
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.20 / $329.18 / $329.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $174.47 / $564.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.55 / $850.55 / $850.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $164.59
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.80 / $231.08 / $231.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $164.59 / $233.73