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Wisconsin rates for HCPCS J1447

Injection, tbo-filgrastim, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $3.02 / $3.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.83 / $1.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.33 / $0.46
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.56 / $0.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1,258.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.26 / $1.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.25 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.37 / $0.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.28 / $0.38