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Wisconsin rates for HCPCS J9353

Injection, margetuximab-cmkb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.06 / $100.90 / $115.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $54.06 / $65.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.61 / $97.11 / $117.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $52.49 / $70.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.98 / $94.48 / $96.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.49 / $96.45 / $167.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.91 / $58.24 / $83.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.45 / $52.49 / $58.04
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.68 / $104.98 / $104.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.45 / $50.45 / $55.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.45 / $56.16 / $218.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $118.41
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.45 / $52.49 / $58.42
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.68 / $104.98 / $104.98
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $75.22 / $165.33
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.49 / $52.96 / $242.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $90.87 / $218.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.70 / $73.70 / $73.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.49 / $54.07 / $64.17