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Wisconsin rates for HCPCS J9070

Cyclophosphamide, 100 mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.28 / $43.32 / $44.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,999.51 / $48,999.51 / $92,609.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $31.18 / $57.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $34.82 / $39.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.35 / $148.35 / $148.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.24 / $832.44 / $832.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.35 / $148.35 / $148.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.44 / $832.44 / $832.44