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Wisconsin rates for HCPCS J1306

Leqvio SC SOSY 284 MG/1.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.69 / $24.08 / $28.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.69 / $3,507.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.40 / $22.79 / $27.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.32 / $15.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.87 / $16.87 / $19.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $29.57 / $42.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $18.92 / $21.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $12.35 / $27.09
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $24.64 / $24.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.35 / $12.35 / $27.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $12.35 / $24.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.32 / $12.35 / $27.09
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $24.64 / $24.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $19.02 / $41.06
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.32 / $12.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $17.30 / $17.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.32 / $12.32 / $16.02