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Wisconsin rates for HCPCS J7205

Injection Factor Viii Fc Fusion (Recombinant) Per Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.49 / $4.72 / $5.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.50 / $5.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.04 / $4.50 / $5.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.43 / $5.72 / $8.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.41 / $3.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $2.42 / $5.70
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.86 / $4.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $2.42 / $4.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $4.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.99 / $2.42 / $5.70
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $4.86 / $4.86
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.75 / $7.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $2.43
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $3.41 / $3.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.43 / $3.33