go back

Wisconsin rates for HCPCS J9247

Injection, melphalan flufenamide, 1 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.85 / $1,222.31 / $1,747.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $839.51 / $953.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.50 / $2,134.50 / $2,134.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.20 / $2,166.00 / $2,166.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.63 / $983.63 / $1,083.93
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,134.50 / $2,134.50 / $2,134.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.00 / $2,166.00 / $2,166.00