go back

Wisconsin rates for HCPCS J1560

Injection, gamma globulin, intramuscular, over 10 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.07 / $325.77 / $383.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $175.59 / $1,124.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.10 / $315.39 / $380.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $216.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.40 / $233.40 / $272.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.48 / $217.13 / $1,387.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.08 / $791.11 / $898.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.81 / $167.06 / $367.30
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $340.96 / $340.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.81 / $167.06 / $367.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.06 / $167.06 / $340.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $85.00 / $488.85
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.81 / $167.06 / $367.30
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.57 / $340.96 / $340.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $321.66 / $1,528.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,444.25 / $2,444.25 / $2,444.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $170.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.35 / $239.35 / $632.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.48 / $170.48 / $255.72