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Wisconsin rates for HCPCS J9400

Injection, ziv-aflibercept, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $15.96 / $18.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.06 / $9.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.85 / $14.58 / $17.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $7.88 / $10.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.66 / $12.61 / $14.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $9.91 / $18.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $10.03 / $12.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.98 / $16.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $15.76 / $15.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.98 / $12.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.98 / $8.88 / $2,736.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.39 / $7.98 / $13.37
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $15.76 / $15.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $12.26 / $25.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.88 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $16.32 / $2,736.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $11.06 / $13.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.88 / $8.11 / $9.93