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Wisconsin rates for HCPCS J9065

Injection, cladribine, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $11.22 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $20.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $16.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $19.05 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.76 / $15.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.96 / $28.84
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $21.38 / $60.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.00 / $41.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $10.72 / $426.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $16.22 / $37.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $7.41 / $134.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $31.62 / $426.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $11.75 / $14.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $10.23 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.94 / $10.23