go back

Wisconsin rates for HCPCS J9356

Inj. herceptin hylecta, 10mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.28 / $125.94 / $144.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $63.28 / $84.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.80 / $113.66 / $137.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $61.44 / $82.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.30 / $110.59 / $112.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.44 / $85.36 / $177.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $77.80 / $129.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.44 / $62.97 / $76.80
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.46 / $122.88 / $122.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.97 / $62.97 / $70.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.97 / $70.09 / $303.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.44 / $62.97 / $73.72
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.46 / $122.88 / $122.88
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $83.81 / $214.50
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.44 / $79.48 / $375.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $116.01 / $303.45
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.26 / $86.26 / $86.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.44 / $61.44 / $77.41