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Wisconsin rates for HCPCS J9071

cycloPHOSphamide IV SOLN 1 GM/5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.56 / $1.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.64 / $0.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.17 / $1.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.01 / $1.12 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $2.27 / $3.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.05 / $3.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.66 / $1.12
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.26 / $1.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.87 / $7.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.66 / $0.91
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.26 / $1.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.97 / $3.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $4.05 / $7.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $0.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.66 / $0.79