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Wisconsin rates for HCPCS J9330

Temsirolimus IV SOLN 25 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.51 / $64.58 / $74.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $27.51 / $33.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.39 / $49.41 / $59.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $26.71 / $36.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.74 / $48.08 / $48.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.71 / $43.10 / $89.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $38.63 / $60.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.71 / $29.38 / $68.47
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $53.42 / $53.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.29 / $33.25 / $68.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $35.95 / $1,801.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.71 / $29.73 / $68.47
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.44 / $53.42 / $53.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $41.58 / $103.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.71 / $85.00 / $224.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $54.31 / $1,801.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $37.50 / $103.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.32 / $30.32 / $65.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $27.51 / $33.65