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Wisconsin rates for HCPCS J3302

Injection Triamcinolone Diacetate Per 5mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.54 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.89 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.55 / $0.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.59
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.59
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.77 / $1.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.35 / $0.46