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Wisconsin rates for HCPCS J7050

Infusion Normal Saline Solution 250 Cc (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $96.19 / $309.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $1.34 / $3.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.82
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.61 / $2.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $1.05 / $1.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.71 / $1.42
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $1.30 / $1.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.73 / $21.78 / $88.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $1.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.71 / $1.42
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $1.30 / $1.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.96 / $2.00
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
$0.79 / $0.91 / $1.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.91