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Wisconsin rates for HCPCS J3145

Testosterone Undecanoate 1mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $3.88 / $4.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.15 / $2,047.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.59 / $3.83 / $4.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $2.83 / $3.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $4.74 / $6.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.87 / $3.26
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.99 / $4.28
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $4.13 / $4.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.99 / $4.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $4.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.99 / $4.28
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.99 / $4.13 / $4.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.58 / $6.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.91 / $2.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $3.31