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Wisconsin rates for HCPCS J9306

Perjeta IV SOLN 420 MG/14ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.53 / $33.78 / $25,912.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.53 / $6,062.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.28 / $31.49 / $37.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.02 / $22.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $23.65 / $31.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $17.02 / $39.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.02 / $24.52 / $44.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $20.67 / $30.30
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $17.02 / $29.52
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.34 / $34.04 / $34.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $16.89 / $31.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $18.80 / $4,929.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $17.02 / $29.52
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.34 / $34.04 / $34.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.01 / $22.53 / $50.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.02 / $17.02 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $29.78 / $4,929.21
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.25 / $23.90 / $23.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.02 / $17.53 / $20.25