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Wisconsin rates for HCPCS J1599

Injection, immune globulin, intravenous, nonlyophilized (e.g., liquid), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.04 / $143.04 / $318.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.04 / $143.04 / $178.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.62 / $118.62 / $151.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.27 / $161.13 / $254.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $161.13 / $195.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.04 / $178.80 / $178.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.04 / $178.80 / $178.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $312.72
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.04 / $178.80 / $178.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.97 / $151.97 / $670.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.97 / $151.97 / $151.97
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.89 / $38.89 / $71.09