go back

Wisconsin rates for HCPCS J9176

Injection, elotuzumab, 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $15.76 / $18.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.96 / $9.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $14.60 / $17.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $7.89 / $10.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.62 / $14.20 / $14.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $11.53 / $21.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $9.84 / $14.49
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $7.89 / $8.67
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $15.78 / $15.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $7.88 / $8.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.77 / $34.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.06 / $7.89 / $8.72
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $15.78 / $15.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $11.98 / $24.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.89 / $7.89 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $14.20 / $34.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $11.08 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.89 / $8.13 / $9.39