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Wisconsin rates for HCPCS J9371

Injection, vincristine sulfate liposome, 1 mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,328.44 / $7,354.68 / $7,628.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,589.89 / $5,202.43 / $9,517.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,485.33 / $4,990.80 / $5,671.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,103.90 / $17,103.90 / $17,103.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,683.40 / $15,683.40 / $15,683.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,774.57 / $4,774.57 / $7,456.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,103.90 / $17,103.90 / $17,103.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,714.49 / $15,683.40 / $15,683.40