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Wisconsin rates for HCPCS J7181

Injection, Factor XIII A-subunit, (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.70 / $35.67 / $42.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.70 / $31.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.70 / $33.60 / $40.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $23.06
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.87 / $24.87 / $29.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.16 / $41.91 / $59.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $26.72 / $30.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.16 / $18.29 / $39.93
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $36.32 / $36.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $18.29 / $40.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $18.29 / $36.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.16 / $18.29 / $39.93
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $36.32 / $36.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $20.79 / $58.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.70 / $86.70 / $86.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $18.16
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $25.50 / $25.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $24.86