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Wisconsin rates for HCPCS J7050

Infusion, normal saline solution, 250 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $109.65 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $2.00 / $6.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $1.38 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.83 / $1.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $1.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $1.29 / $1.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.80 / $21.88 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.71 / $1.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.72 / $2.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.66 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $0.66
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.95 / $1.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $1.00