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Wisconsin rates for HCPCS J1300

Injection, eculizumab, 10 mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.70 / $481.94 / $499.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.62 / $549.95 / $779.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.98 / $351.98 / $399.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.16 / $249.27 / $762.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.40 / $1,152.40 / $1,152.40