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Plasminogen Injection

Wisconsin rates for HCPCS C9090

Injection, plasminogen, human-tvmh, 1 mg

Rates data updated July 2026.

Facilitymedian $29 · 10th–90th $29$1580%50%90th$29Professionalmedian $29 · 10th–90th $29$360%50%90th$29$50.0$100.0

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$36.31
Quartz
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$158.49
Typical High
$158.49