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Wisconsin rates for HCPCS J3303

Injection, triamcinolone hexacetonide, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.76 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $11.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $8.13 / $8.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $8.32 / $13.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.37 / $5.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $3.63 / $7.76
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $5.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $3.63 / $7.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $10.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.50 / $7.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $8.32 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $8.32
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $7.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $11.22