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Wisconsin rates for HCPCS J9206

Injection, irinotecan, 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $54.59 / $781.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.80 / $133.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.62 / $3.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $2.08 / $3.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.75 / $4.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $3.35 / $6.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.11 / $3.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.82 / $153.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $3.50 / $88.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.45 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.82 / $535.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.82 / $153.41
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $3.50 / $88.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $4.48 / $6.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.75 / $3,832.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $6.13 / $535.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $4.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.80 / $32.00