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Wisconsin rates for HCPCS J1551

Injection Immune Globulin (Cutaquig) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.63 / $27.71 / $32.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.66 / $24.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.79 / $26.33 / $31.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $18.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $19.48 / $22.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.23 / $18.14 / $40.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.59 / $21.66 / $24.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.21 / $31.37
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $28.46 / $28.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.21 / $31.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $15.92 / $28.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $14.34 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.21 / $31.37
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.32 / $28.46 / $28.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $17.64 / $49.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.23 / $14.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $14.21 / $14.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $19.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $15.94 / $19.92