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Wisconsin rates for HCPCS J1446

Inj, tbo-filgrastim, 5 mcg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $9.91 / $14.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.25 / $5.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00