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Wisconsin rates for HCPCS J1460

Injection, gamma globulin, intramuscular, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $74.13 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $85.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $63.10 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $57.54 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $63.10 / $93.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $48.98 / $48.98
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $97.72 / $97.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $48.98 / $48.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $77.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $53.70 / $147.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $245.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $66.07 / $81.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $67.61