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Wisconsin rates for HCPCS J0583

Injection, bivalirudin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $512.86 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $16.98 / $23.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.38 / $0.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.19 / $0.28
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.34 / $1.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.17 / $1.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.16 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $1.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.26