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Wisconsin rates for HCPCS J1602

Injection Golimumab 1 Mg For Intravenous Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.36 / $21.51 / $25.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $15.16 / $7,467.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $20.42 / $24.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $14.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.12 / $15.12 / $17.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $14.06 / $30.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $19.25 / $21.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $24.23
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $22.08 / $22.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $24.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $11.03 / $22.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $24.23
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.55 / $22.08 / $22.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.03 / $16.69 / $36.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.04 / $11.04 / $95.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $11.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $15.50 / $36.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $11.04 / $16.55