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Wisconsin rates for HCPCS J2469

Palonosetron Hcl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $40.93 / $130.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.37 / $34.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.49 / $0.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.41 / $0.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $1.25 / $2.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.66 / $1.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.43 / $36.96
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.72 / $11.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.46 / $35.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.50 / $514.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.45 / $58.54
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.72 / $11.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $1.49 / $3.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.34 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $3.78 / $514.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $23.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.08 / $1.08 / $1.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.45