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Wisconsin rates for HCPCS J3380

Injection, Vedolizumab

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.95 / $44.12 / $23,060.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $23.31 / $10,336.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.64 / $39.42 / $47.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $27.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.17 / $29.17 / $34.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.31 / $27.14 / $61.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.56 / $34.40 / $39.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $22.06 / $47.04
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $42.62 / $42.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.06 / $48.48 / $69.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.06 / $22.06 / $42.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.16 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $22.06 / $47.04
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $42.62 / $42.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $22.59 / $72.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.31 / $21.31 / $105.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $21.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.05 / $29.92 / $32.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $21.31 / $37.07