go back

Wisconsin rates for HCPCS J8670

Rolapitant, oral, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.02 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $3.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.51 / $2.51 / $4.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.40 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.09 / $3.72
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $1.86 / $2.14
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $3.72 / $6.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.55 / $2.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $7.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.80 / $6.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.45 / $7.94
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $2.69 / $3.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.78 / $1.78 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.29