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Wisconsin rates for HCPCS J3121

Injection, testosterone enanthate, 1 mg

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.08 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.05 / $0.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.07 / $0.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.05 / $0.08