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Wisconsin rates for HCPCS J1655

Injection, tinzaparin sodium, 1000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $3.82 / $8.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.82 / $3.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $5.91 / $12.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $8.94 / $12.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $6.12 / $6.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.90 / $5.25
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.90 / $5.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.90 / $5.25
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $8.48 / $11.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $3.49 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.49 / $3.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.19