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Wisconsin rates for HCPCS J9295

Injection, necitumumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.90 / $11.46 / $13.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.79 / $6.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $10.60 / $12.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $5.73 / $7.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.17 / $10.31 / $10.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $8.68 / $15.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $7.30 / $11.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $5.74 / $6.43
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $11.46 / $11.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $5.73 / $6.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $6.38 / $25.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $5.73 / $6.38
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $11.46 / $11.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $8.88 / $18.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.73 / $5.73 / $95.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $10.55 / $25.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.01 / $8.03 / $8.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $6.02 / $6.82