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Wisconsin rates for HCPCS J2796

Nplate SC SOLR 125 MCG

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.94 / $217.26 / $225.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.26 / $247.45 / $350.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.06 / $149.77 / $170.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.05 / $101.05 / $120.27
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.25 / $505.25 / $505.25