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Wisconsin rates for HCPCS J1322

Injection, elosulfase alfa, 1 mg

Facilitymedian $389 · 10th–90th $309–$9330%20%10th90th$389Professionalmedian $309 · 10th–90th $309–$5890%50%90th$309$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $467.74 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $524.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $416.87 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $575.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $676.08
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $616.60 / $616.60
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $676.08
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $489.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $85.11 / $309.03
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $295.12 / $295.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $338.84 / $1,000.00
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $309.03 / $1,548.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $309.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $691.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $309.03 / $426.58