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Wisconsin rates for HCPCS J3396

Injection Verteporfin 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.88 / $22.52 / $26.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $11.88 / $29.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.43 / $21.35 / $25.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $14.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $18.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $27.97 / $39.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $17.98 / $20.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $11.54 / $11.55
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $23.08 / $23.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $11.55 / $11.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $23.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $11.54 / $11.55
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $23.08 / $23.08
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $17.85 / $36.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $11.54 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $11.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $16.20 / $17.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $11.53 / $11.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.54 / $15.80