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Wisconsin rates for HCPCS J7309

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $94.36 / $135.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $80.53 / $139.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.69 / $199.25 / $284.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.63 / $86.13 / $104.53
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.20 / $94.74 / $94.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.53 / $418.45 / $418.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.06 / $94.74 / $123.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.20 / $94.74 / $94.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.76 / $334.76 / $418.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $83.69 / $83.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.53 / $94.74 / $113.69