go back

Wisconsin rates for HCPCS J7194

Factor Ix Complex Per I.U. (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $3.32 / $3.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.75 / $3.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $3.15 / $3.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.33 / $2.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $4.01 / $5.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.50 / $2.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $1.70 / $1.70
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $3.40 / $3.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $1.70 / $1.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $3.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $1.70 / $1.70
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $3.40 / $3.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.96 / $5.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $2.39 / $2.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $2.21