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Wisconsin rates for HCPCS Q2055

Abecma IV SUSP 460000000 CELLS

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574,037.47 / $574,037.47 / $1,164,350.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $574,037.47 / $574,037.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $752,379.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891,708.70 / $1,021,511.00 / $1,021,511.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$654,682.12 / $1,197,667.69 / $1,697,511.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544,161.75 / $755,913.30 / $858,992.39
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $713,366.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483,453.66 / $541,260.44 / $713,366.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $527,622.43
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $713,366.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557,317.93 / $557,317.93 / $867,523.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960,235.50 / $960,235.50 / $960,235.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782,474.37 / $782,474.37 / $782,474.37