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Wisconsin rates for HCPCS J1439

Inj Ferric Carboxymaltos 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $2.27 / $2,751.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.14 / $855.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $2.04 / $2.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $2.68 / $3.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.79 / $2.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.13 / $2.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.22 / $2.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $1.13 / $3.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $2.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.13 / $2.13
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.22 / $2.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.53 / $3.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.56 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.55