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Wisconsin rates for HCPCS J0882

Injection, darbepoetin alfa, 1 mcg (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $6.00 / $6.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.96 / $3.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.01 / $4.01 / $4.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $4.59 / $12.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.31 / $5.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $3.00 / $6.04
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.02 / $9.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $1,664.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $3.00 / $6.04
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.86 / $5.86 / $5.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $4.72 / $9.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $65.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $7.90 / $1,664.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $4.30 / $7.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.81