go back

Wisconsin rates for HCPCS J3420

Injection, vitamin B-12 cyanocobalamin, up to 1,000 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $48.98 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.34 / $5.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $2.34 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.79 / $1.17
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $1.00 / $1.66
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $2.04 / $2.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $6.17 / $69.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $0.95 / $2.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.69 / $3.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $2.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.68 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $1.02