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Wisconsin rates for HCPCS J1325

Injection, epoprostenol, 0.5 mg

Facilitymedian $20 · 10th–90th $16–$470%20%10th90th$20Professionalmedian $15 · 10th–90th $15–$300%50%10th90th$15$10.0$20.0$50.0$100.0

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
$16.22 / $23.44 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $26.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $38.90 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $19.95 / $28.84
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $16.22 / $16.22
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $32.36 / $32.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $16.22 / $16.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $25.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $16.98
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.49 / $51.29
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $24.55
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $38.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $21.88