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Wisconsin rates for HCPCS J3358

Ustekinumab, for intravenous injection, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.38 / $26.58 / $16,614.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $13.51 / $12,480.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $24.03 / $28.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $16.48
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $17.78 / $20.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.99 / $31.45 / $44.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.05 / $19.68 / $22.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $13.29 / $28.51
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $25.98 / $25.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $13.29 / $29.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.29 / $25.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.81 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.26 / $13.29 / $28.51
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $25.98 / $25.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $14.43 / $42.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $12.99
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.24 / $18.23 / $19.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $19.48