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Wisconsin rates for HCPCS J0896

Injection, luspatercept-aamt, 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.22 / $81.81 / $96.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.98 / $43.24 / $57.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $77.66 / $93.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.98 / $41.98 / $53.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.47 / $57.47 / $67.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.98 / $53.49 / $113.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.04 / $62.34 / $70.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.96 / $41.96 / $92.67
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.94 / $83.96 / $83.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.96 / $41.96 / $92.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.96 / $41.96 / $83.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.24 / $41.24 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.96 / $41.96 / $92.67
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.94 / $83.96 / $83.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.98 / $55.01 / $140.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.98 / $41.98 / $206.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.98 / $41.98 / $41.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.94 / $58.94 / $58.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.98 / $41.98 / $54.57