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Wisconsin rates for HCPCS J9263

Oxaliplatin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.20 / $727.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $79.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.12 / $0.14
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.11 / $0.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.08 / $0.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.09 / $1.59
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $6.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $1.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $774.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.09 / $1.59
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.16 / $6.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.16 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.08 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.37 / $774.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $2.67