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Wisconsin rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $190.55 / $436.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $52.48 / $398.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.13 / $0.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.11 / $0.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.22 / $0.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.20
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $2.00
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.20 / $3.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.12 / $2.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $309.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $64.57 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.50 / $1.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.71 / $309.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.62 / $3.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.13