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Wisconsin rates for HCPCS J9298

Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.77 / $395.30 / $453.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $199.81 / $239.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.29 / $365.99 / $441.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $197.83 / $267.07
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.52 / $356.09 / $362.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.83 / $254.91 / $529.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $237.02 / $331.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.65 / $199.81 / $218.77
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.48 / $395.66 / $395.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.65 / $197.65 / $219.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.65 / $220.03 / $855.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $187.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.65 / $197.83 / $220.18
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.48 / $395.66 / $395.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $300.82 / $647.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.08 / $197.83 / $970.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $356.64 / $855.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.61 / $277.75 / $277.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.83 / $207.72 / $250.28