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Wisconsin rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Facilitymedian $10 · 10th–90th $4–$350%10%20%10th90th$10Professionalmedian $11 · 10th–90th $10–$170%50%10th90th$11$5.0$10.0$20.0$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
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $23.44 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.88 / $17.38
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $9.33 / $9.77
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $14.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $9.33 / $9.77
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $14.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $12.02
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96