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Wisconsin rates for HCPCS J9010

Alemtuzumab injection

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.90 / $1,637.79 / $2,341.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.38 / $728.62 / $872.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,911.50 / $2,911.50 / $2,911.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,036.30 / $6,036.30 / $6,036.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,911.50 / $2,911.50 / $2,911.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,036.30 / $6,036.30 / $6,036.30