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Wisconsin rates for HCPCS J9022

Injection, atezolizumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.08 / $182.04 / $38,806.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $92.25 / $125.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.18 / $168.98 / $203.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $91.34 / $123.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.02 / $127.43 / $167.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.02 / $91.34 / $211.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.34 / $115.41 / $239.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $109.44 / $166.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.06 / $91.34 / $100.47
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.53 / $182.68 / $182.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.06 / $91.02 / $101.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.02 / $101.32 / $389.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.06 / $91.34 / $100.47
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.53 / $182.68 / $182.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $138.56 / $273.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.34 / $95.64 / $446.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $162.30 / $389.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.20 / $128.24 / $131.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $96.82 / $116.93