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Wisconsin rates for HCPCS Q9995

Inj., emicizumab-kxwh 0.5 mg

Facilitymedian $123 · 10th–90th $66–$2140%10%20%10th90th$123Professionalmedian $66 · 10th–90th $51–$890%20%10th90th$66$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $120.23 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $66.07 / $89.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $245.47 / $245.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $81.28