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Wisconsin rates for HCPCS J7185

Xyntha IV KIT 1000 UNIT

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.59 / $3.00 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.72 / $3.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.09 / $3.09 / $3.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $2.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $3.57 / $5.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.00 / $2.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.54 / $3.57
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.34 / $3.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.54 / $3.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.54 / $3.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.54 / $3.57
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $3.34 / $3.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.96 / $5.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $2.34 / $2.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $2.29