go back

Wisconsin rates for HCPCS J0881

Injection, darbepoetin alfa, 1 mcg (non-ESRD use)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $6.00 / $7,437.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.04 / $1,026.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $5.42 / $6.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $5.37 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $7.33 / $10.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $4.57 / $5.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $3.00 / $4.72
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $5.86 / $5.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $15.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.34 / $5.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $3.00 / $4.72
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $5.86 / $5.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $4.51 / $9.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $2.84 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $4.11 / $6.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.26 / $4.30