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Wisconsin rates for HCPCS J9328

Temodar IV SOLR 100 MG

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $20.78 / $23.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $10.50 / $12.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.99 / $19.22 / $23.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $10.39 / $14.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $18.70 / $19.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $15.73 / $28.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $13.23 / $20.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $10.42 / $17.82
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.59 / $20.78 / $20.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $10.39 / $14.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $11.57 / $796.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $10.39 / $17.82
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.59 / $20.78 / $20.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $16.13 / $32.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.39 / $85.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $19.14 / $796.88
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $14.59 / $16.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.39 / $10.70 / $12.36