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Wisconsin rates for HCPCS J2355

Oprelvekin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.14 / $832.49 / $943.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.14 / $423.14 / $754.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.80 / $917.88 / $952.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.23 / $449.58 / $863.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.92 / $1,133.84 / $1,620.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.24 / $467.31 / $594.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.09 / $423.14 / $426.92
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.76 / $174.76 / $640.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.09 / $423.14 / $426.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.91 / $588.79 / $706.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $85.00 / $1,382.52
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.09 / $423.14 / $426.92
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.76 / $174.76 / $640.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.60 / $583.71 / $825.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.92 / $426.92 / $1,309.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.92 / $426.92 / $426.92
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.42 / $599.40 / $628.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.91 / $588.79 / $778.07