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Wisconsin rates for HCPCS J9037

Injection Belantamab Mafodontin-Blmf 0.5 Mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.77 / $97.35 / $100.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.59 / $109.90 / $157.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.13 / $77.09 / $87.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.65 / $208.65 / $208.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.25 / $201.25 / $201.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.56 / $85.56 / $94.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.65 / $208.65 / $208.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.14 / $201.25 / $201.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.45 / $47.60 / $50.90