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Wisconsin rates for HCPCS J7197

Antithrombin Iii Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $7.98 / $9.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.23 / $9.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.13 / $7.59 / $9.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.62 / $5.62 / $6.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $9.38 / $13.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $6.04 / $6.86
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.09 / $9.27
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $8.19 / $8.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.09 / $9.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $8.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $4.09 / $9.27
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $8.19 / $8.19
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.71 / $12.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.76 / $5.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $5.35