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Wisconsin rates for HCPCS J9071

Injection, cyclophosphamide (AuroMedics), 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.82 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.82 / $660.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.74 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.65 / $1.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.87
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.26 / $1.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.87 / $7.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $60.26 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.07 / $2.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $1.05 / $7.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.87 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.65 / $0.87