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Wisconsin rates for HCPCS J9280

Injection, mitomycin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.96 / $64.94 / $316.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.96 / $28.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.44 / $37.65 / $45.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $29.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.56 / $36.63 / $37.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $56.89 / $118.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $32.58 / $124.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $22.38 / $114.93
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $40.70 / $42.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $29.12 / $114.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.27 / $31.47 / $573.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $22.65 / $114.93
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $40.70 / $42.41
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $50.99 / $162.38
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $20.35 / $628.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $161.15 / $573.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.57 / $28.57 / $197.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $21.57 / $29.94