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Pegademase Bovine Injection

Wisconsin rates for HCPCS J2504

Injection, pegademase bovine, 25 IU

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $166$1,5140%10%10th90th$372Professionalmedian $372 · 10th–90th $355$6920%20%40%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
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$1,513.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$371.54
Median
$602.56
Typical High
$691.83
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$371.54
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$549.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$489.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$371.54
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$549.54
Quartz
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$7,413.10
Typical High
$7,413.10