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Wisconsin rates for HCPCS J3304

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $28.18 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.62 / $56.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $41.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $37.15 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.44 / $34.67
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.20 / $40.74
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $36.31 / $36.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $18.20 / $58.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $28.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.95 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $91.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $18.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $25.12 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $26.30