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Wisconsin rates for HCPCS J3303

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.80 / $7.80 / $17.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.80 / $9.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $8.13 / $8.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.93 / $8.94 / $12.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.86 / $4.44 / $5.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $3.61 / $7.80
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $5.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $3.61 / $7.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $10.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $3.61 / $7.80
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $5.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $5.40 / $7.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.28 / $8.28 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $8.28 / $8.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.04 / $4.04 / $7.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $11.13