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Wisconsin rates for HCPCS J0600

Injection Edetate Calcium Disodium Up To 1000 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.63 / $12,586.40 / $14,825.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,600.63 / $14,657.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,010.48 / $11,855.50 / $14,290.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $8,138.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,773.66 / $8,773.66 / $10,253.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,408.38 / $13,858.36 / $19,809.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $9,077.43 / $10,315.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,141.21 / $6,454.57 / $14,122.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.27 / $12,816.76 / $12,816.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,141.21 / $6,454.57 / $14,223.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,454.57 / $6,454.57 / $12,816.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $85.00 / $6,460.03
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,141.21 / $6,454.57 / $14,122.71
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.27 / $12,816.76 / $12,816.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $9,613.28 / $18,809.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,300.15 / $32,300.15 / $32,300.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $6,408.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,993.03 / $8,997.37 / $9,047.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,408.38 / $6,408.38 / $8,330.89