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Wisconsin rates for HCPCS J2425

Injection, palifermin, 50 mcg

Facilitymedian $46 · 10th–90th $36$1100%20%10th90th$46Professionalmedian $36 · 10th–90th $36$680%50%90th$36$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $45.71 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $46.77 / $67.61
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $35.48 / $77.62
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $70.79 / $70.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $36.31 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $57.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $28.18 / $28.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $107.15
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $177.83
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $50.12 / $61.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $50.12