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Wisconsin rates for HCPCS J9229

Inj inotuzumab ozogam 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,778.99 / $5,396.10 / $6,197.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,778.99 / $3,705.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,372.56 / $4,991.39 / $6,016.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $3,642.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,316.88 / $4,856.49 / $4,945.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.05 / $3,982.85 / $7,286.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $3,385.36 / $5,066.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,983.52
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,047.08 / $5,396.10 / $5,396.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,997.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $3,003.50 / $11,735.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,698.05 / $2,698.05 / $2,983.52
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,047.08 / $5,396.10 / $5,396.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $3,532.10 / $9,039.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,658.13 / $2,698.05 / $13,290.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $4,889.96 / $11,735.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,788.06 / $3,788.06 / $3,788.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,698.05 / $2,832.95 / $3,210.68