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Wisconsin rates for HCPCS J1457

Injection, gallium nitrate, 1 mg

Facilitymedian $3 · 10th–90th $1–$80%10%20%10th90th$3Professionalmedian $2 · 10th–90th $2–$30%50%10th90th$2$1.0$2.0$5.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $5.37 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.29 / $2.82
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.48 / $2.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.07 / $1.07
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.48 / $2.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $3.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.29 / $1.29 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.40 / $2.40 / $2.40