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Wisconsin rates for HCPCS J9348

Injection Naxitamab-Gqgk 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.58 / $1,371.82 / $1,575.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $692.86 / $795.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$857.50 / $1,269.09 / $1,529.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $686.00 / $950.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.59 / $1,234.80 / $1,257.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.00 / $1,284.52 / $2,228.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.54 / $770.19 / $1,080.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.91 / $686.00 / $758.58
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.86 / $1,372.00 / $1,372.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.91 / $685.91 / $758.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.91 / $763.56 / $2,835.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $1,566.07
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$685.91 / $686.00 / $763.52
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.86 / $1,372.00 / $1,372.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $994.83 / $2,146.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.68 / $686.00 / $3,209.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $1,181.56 / $2,835.75
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.14 / $963.14 / $963.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.00 / $686.00 / $686.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.00 / $706.65 / $816.34