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Wisconsin rates for HCPCS J1786

Injection, imiglucerase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.49 / $84.42 / $99.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $44.49 / $113.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.99 / $79.90 / $96.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $43.19 / $54.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.13 / $59.13 / $69.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.19 / $50.63 / $121.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $68.65 / $78.01
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $43.29 / $95.52
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $86.38 / $86.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $43.29 / $95.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.29 / $43.29 / $86.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.14 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.75 / $43.29 / $95.52
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $86.38 / $86.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $66.87 / $134.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.19 / $43.19 / $216.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $43.19 / $43.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.65 / $60.64 / $66.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.19 / $43.19 / $56.15