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Wisconsin rates for HCPCS J9055

Injection, cetuximab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.72 / $156.94 / $14,128.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $79.15 / $107.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.96 / $144.97 / $174.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $78.37 / $105.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.37 / $109.72 / $143.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $78.47 / $181.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.37 / $114.80 / $210.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $98.72 / $144.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.64 / $78.47 / $130.97
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.01 / $156.74 / $156.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.64 / $78.47 / $117.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.47 / $87.35 / $933.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.64 / $78.47 / $130.97
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.01 / $156.74 / $156.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $116.68 / $238.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.37 / $78.37 / $387.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $141.84 / $933.66
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.72 / $110.03 / $114.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $80.73 / $98.75