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Wisconsin rates for HCPCS J2793

Injection, rilonacept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $26.30 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $26.92 / $69.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $47.86 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $28.84 / $41.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $26.30 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $26.30 / $45.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $35.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $50.12 / $74.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $120.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $28.84 / $38.90