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Wisconsin rates for HCPCS J9190

Fluorouracil 500 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.58 / $57.66 / $313.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.19 / $97.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $2.49 / $2.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.98 / $3.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $2.43 / $3.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.99 / $4.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $3.20 / $6.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.72 / $6.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $2.00 / $5.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $3.98 / $3.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $1.77 / $10.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $2.34 / $60.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $2.00 / $5.40
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $3.98 / $3.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.99 / $7.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $1.99 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $5.24 / $60.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.79 / $2.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.09 / $2.52