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Wisconsin rates for HCPCS J1324

Injection, enfuvirtide, 1 mg

Facilitymedian $1 · 10th–90th $1–$520%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%50%10th90th$1$0.2$1.0$5.0$20.0$100.0$500.0

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $676.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.66 / $1.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $38.90 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.68 / $23.99
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.65 / $30.20
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.65 / $30.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.85 / $0.85 / $0.85
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.78 / $1.17
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.63 / $0.63 / $1.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.79 / $0.79 / $1.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.89