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Wisconsin rates for HCPCS J9316

Injection Pertuzumab Trastuzumab And Hyaluronidase-Zzxf Per 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.96 / $126.78 / $29,192.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $63.96 / $85.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.63 / $114.89 / $138.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $62.10 / $83.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.36 / $111.78 / $113.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $129.13 / $224.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $79.09 / $118.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $63.39 / $74.52
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $124.20 / $124.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $63.39 / $70.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.39 / $70.56 / $282.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $63.39 / $74.52
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.09 / $124.20 / $124.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.09 / $96.66 / $212.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.10 / $78.84 / $314.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $117.51 / $282.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.19 / $87.19 / $87.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.10 / $65.20 / $78.56