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Wisconsin rates for HCPCS J9245

Inj Melphalan Hydrochl 50 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.78 / $216.06 / $248.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $98.78 / $162.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.88 / $177.42 / $213.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $95.90 / $129.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.44 / $172.62 / $175.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $205.50 / $427.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $200.11 / $290.64
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $105.49 / $739.57
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.05 / $191.80 / $1,096.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.03 / $111.27 / $739.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.03 / $120.26 / $5,879.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $106.05 / $739.57
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.05 / $191.80 / $1,096.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $161.97 / $469.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.90 / $95.90 / $2,009.53
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $280.50 / $5,879.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.63 / $134.63 / $1,272.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.90 / $101.65 / $161.81