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Wisconsin rates for HCPCS J9065

Injection, cladribine, per 1 mg

Facilitymedian $11 · 10th–90th $8$220%10%20%10th90th$11Professionalmedian $7 · 10th–90th $7$230%50%10th90th$7$5.0$10.0$20.0$50.0$100.0$200.0

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
$7.59 / $11.22 / $22.39
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $12.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $19.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $19.05 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $15.14
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $26.30
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $21.38 / $60.26
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $35.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $10.72 / $426.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $16.60 / $24.55
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $11.75 / $30.90
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $17.38 / $37.15
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $85.11 / $134.90
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $35.48 / $426.58
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.23 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $10.47 / $60.26