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Wisconsin rates for HCPCS J9268

Injection, pentostatin, 10 mg

Facilitymedian $2,884 · 10th–90th $2,570$6,3100%20%40%10th90th$2,884Professionalmedian $2,630 · 10th–90th $2,512$4,2660%50%10th90th$2,630$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,801.89 / $7,585.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,511.89 / $2,951.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,311.31 / $5,888.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,981.07 / $7,079.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,235.94 / $5,128.61
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,630.27 / $3,801.89
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $5,248.07 / $5,754.40
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,570.40 / $3,630.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,818.38 / $12,022.64
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,884.03
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,884.03 / $4,786.30
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,168.69 / $7,943.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,073.80 / $13,182.57
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $5,011.87 / $12,022.64
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,162.28 / $4,365.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,691.53 / $6,309.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $2,754.23 / $3,019.95