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Wisconsin rates for HCPCS J0620

Injection, calcium glycerophosphate and calcium lactate, per 10 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $11.75 / $11.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $17.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $22.39 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $19.05 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.75 / $21.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $12.59 / $23.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $12.59 / $23.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $19.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $26.92 / $37.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $20.42 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $20.89