go back

Wisconsin rates for HCPCS J3399

Inj onase abepar-xioi treat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,255,412.00 / $2,255,412.00 / $2,255,412.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511,290.97 / $2,511,290.97 / $2,511,290.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,327,698.75 / $2,428,876.31 / $3,442,561.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,452,115.60 / $2,452,115.60 / $2,452,115.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $7,713,750.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125,000.00 / $2,125,000.00 / $2,125,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455,110.60 / $2,455,110.60 / $2,455,110.60