go back

Wisconsin rates for HCPCS J9318

Injection, romidepsin, nonlyophilized, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.37 / $57.04 / $65.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $29.37 / $33.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.65 / $52.76 / $63.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $38.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.63 / $51.34 / $52.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.76 / $28.52 / $40.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $28.52 / $32.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $29.09 / $32.79
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.78 / $57.04 / $57.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.52 / $32.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $31.75 / $145.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $28.80 / $32.79
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.78 / $57.04 / $57.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.51 / $28.52 / $44.39
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $32.61 / $143.93
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $40.68 / $145.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.04 / $40.04 / $40.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.52 / $30.23 / $36.08