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Wisconsin rates for HCPCS J1750

Inj Iron Dextran

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.64 / $36.06 / $990.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $24.87 / $725.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.64 / $33.50 / $40.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $22.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.79 / $24.79 / $28.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $42.89 / $61.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $27.02 / $30.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $18.03 / $39.93
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.05 / $36.22 / $36.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.03 / $32.09 / $48.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $18.03 / $36.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.23 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $18.03 / $39.93
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.05 / $36.22 / $36.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.10 / $23.03 / $54.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $18.11 / $164.81
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $25.43 / $25.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.11 / $18.11 / $23.54