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Wisconsin rates for HCPCS J9315

Injection, romidepsin, 1 mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$623.15 / $724.21 / $751.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.42 / $512.16 / $936.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.13 / $397.08 / $451.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.20 / $1,684.20 / $1,684.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,239.82 / $3,239.82 / $3,239.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.20 / $1,684.20 / $1,684.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,239.82 / $3,239.82 / $3,239.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.98 / $472.92 / $501.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.05 / $357.05 / $357.05