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Methyl Aminolevulinate for Topical Administration

Wisconsin rates for HCPCS J7309

Methyl aminolevulinate (MAL) for topical administration, 16.8%, 1 g

Rates data updated July 2026.

How much does Methyl Aminolevulinate for Topical Administration cost?

$95.50per g

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $95.50 for each g of this drug. The price depends on where it is billed: about $95.50 from a physician practice, and about $123 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per g. Enter the amount given to see what insurers have agreed to pay for it.

g
In a doctor's office or clinic
$95.50
At a hospital outpatient department
$123

The same drug, in the same amount, costs 29% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$95.50$93.33 to $100
FacilityA hospital or hospital-owned outpatient department$123$83.18 to $331

How much rates vary

Facilitymedian $123 · 10th to 90th $38 to $417Professionalmedian $95 · 10th to 90th $81 to $107
$0.1$1$10$100facility $123professional $95

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$199.53
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$93.33
Typical High
$107.15
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$95.50
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$416.87
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$95.50
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$89.13
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$95.50
Typical High
$95.50
Quartz
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$416.87
United
Setting
Facility
Modifier
Global
Typical Low
$0.95
Median
$38.02
Typical High
$89.13

Where Wisconsin sits

The same service costs 436.5 times more in Tennessee than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 11th of 51

$95.50

TN $417RI $0.95

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.