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Wisconsin rates for HCPCS J9035

Injection Bevacizumab 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.40 / $146.10 / $267.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $75.40 / $146.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.50 / $135.41 / $163.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $73.20 / $98.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.05 / $102.27 / $134.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.05 / $73.20 / $169.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.20 / $109.64 / $202.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $87.71 / $145.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.05 / $74.52 / $151.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.35 / $146.40 / $146.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.05 / $74.51 / $122.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.05 / $81.31 / $2,022.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.05 / $74.52 / $170.67
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.35 / $146.40 / $146.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $112.73 / $226.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.20 / $85.00 / $381.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $134.65 / $2,022.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.47 / $102.77 / $128.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $75.40 / $92.23