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Wisconsin rates for HCPCS J7212

Factor Viia (Antihemophilic Factor Recombinant)- Jncw (Sevenfact) 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.44 / $4.68 / $5.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.44 / $4.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $4.38 / $5.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $5.54 / $7.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $3.17 / $3.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.40 / $4.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.74 / $4.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.39 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.40 / $4.99
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.74 / $4.74
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $3.70 / $7.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.33 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.37 / $3.25