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Wisconsin rates for HCPCS J9354

Injection, ado-trastuzumab emtansine, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.42 / $83.70 / $96.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.15 / $43.42 / $57.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.70 / $78.00 / $94.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $56.91
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.85 / $58.59 / $77.27
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $42.16 / $97.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $61.52 / $112.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $52.36 / $68.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.25 / $42.16 / $72.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $84.32 / $84.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.25 / $41.85 / $60.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.85 / $46.59 / $4,110.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.25 / $42.16 / $72.41
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.78 / $84.32 / $84.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $53.37 / $127.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.16 / $85.00 / $205.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $75.37 / $4,110.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.02 / $59.19 / $59.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.11 / $41.11 / $88.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $43.43 / $50.17