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Wisconsin rates for HCPCS J9050

Injection, carmustine, 100 mg

Facilitymedian $302 · 10th–90th $174–$6920%20%10th90th$302Professionalmedian $240 · 10th–90th $234–$4570%50%10th90th$240$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $346.74 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $323.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $537.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $446.68 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $295.12 / $478.63
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $3,715.35
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $478.63 / $5,623.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $3,715.35
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $194.98 / $16,595.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $70.79 / $234.42
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $288.40 / $288.40
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $269.15 / $457.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $426.58 / $831.76
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $758.58 / $10,000.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $501.19 / $16,595.87
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $2,570.40 / $6,165.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $234.42 / $323.59