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Wisconsin rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Facilitymedian $372 · 10th–90th $155–$1,3180%10%10th90th$372Professionalmedian $372 · 10th–90th $355–$6030%50%10th90th$372$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $891.25 / $1,318.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $501.19 / $691.83
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $338.84 / $371.54
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $549.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $338.84 / $371.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $489.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $7,413.10 / $7,413.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $363.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81