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Wisconsin rates for HCPCS Q9995

Inj., Emicizumab-Kxwh 0.5 Mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.51 / $119.85 / $169.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.37 / $77.45 / $88.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.30 / $244.30 / $244.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.59 / $68.59 / $68.59