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Wisconsin rates for HCPCS J1458

Injection, galsulfase, 1 mg

Facilitymedian $646 · 10th–90th $513$1,5490%20%10th90th$646Professionalmedian $513 · 10th–90th $513$9550%50%90th$513$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
$524.81 / $776.25 / $1,548.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $870.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$645.65 / $645.65 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $676.08 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $660.69 / $954.99
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $512.86 / $512.86
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $1,023.29 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $501.19 / $501.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$501.19 / $501.19 / $812.83
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
$489.78 / $489.78 / $489.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $676.08 / $1,513.56
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $512.86 / $2,398.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $512.86
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $691.83 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $1,122.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $512.86 / $707.95