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Plasminogen Injection

Wisconsin rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Rates data updated October 2026.

How much rates vary

Facilitymedian $29 · 10th to 90th $29 to $29Professionalmedian $29 · 10th to 90th $29 to $29
facility $29professional $29

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$14.45
Median
$14.45
Typical High
$14.45
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.88
Median
$2.88
Typical High
$2.88