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Wisconsin rates for HCPCS J9246

Injection Melphalan (Evomela) 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.89 / $33.86 / $39.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $19.05 / $29.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.13 / $34.22 / $41.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $24.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $33.29 / $33.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.50 / $42.08 / $60.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.86 / $25.72 / $29.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $17.37 / $40.64
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.06 / $37.00 / $37.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $17.37 / $38.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.37 / $19.34 / $37.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $45.14 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.37 / $17.37 / $40.64
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.06 / $37.00 / $37.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $28.67 / $60.51
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.50 / $18.50 / $134.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $18.50 / $18.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.97 / $25.97 / $25.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $20.59 / $27.75