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Wisconsin rates for HCPCS J1426

Injection, casimersen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $154.88 / $154.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $158.49 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $354.81 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $190.55 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $177.83 / $204.17
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $165.96 / $190.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $190.55 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $190.55 / $831.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $162.18 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $190.55 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $218.78