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Wisconsin rates for HCPCS J0775

Collagenase, Clost Hist Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.36 / $142.66 / $168.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $78.97 / $5,400.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.89 / $140.43 / $169.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $96.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.92 / $103.92 / $121.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.91 / $172.71 / $246.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $103.36 / $117.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $73.16 / $167.51
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.74 / $151.82 / $151.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $73.16 / $161.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.16 / $73.16 / $151.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $73.38 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.40 / $73.16 / $167.51
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.74 / $151.82 / $151.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $78.77 / $219.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.90 / $366.90 / $366.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $75.91
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.33 / $106.58 / $106.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.91 / $75.91 / $103.94