go back

Wisconsin rates for HCPCS J0887

Injection, epoetin beta, 1 mcg, (for ESRD on dialysis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.82 / $678.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.48 / $1.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.84 / $1.84 / $1.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.47 / $2.21
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.47 / $2.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.85 / $5.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.52 / $2.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.51 / $3.04
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.43 / $3.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $153.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.49 / $3.04
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.27 / $4.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $65.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.94 / $153.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.06 / $3.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.85