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Wisconsin rates for HCPCS J7312

Injection, dexamethasone, intravitreal implant, 0.1 mg

Facilitymedian $275 · 10th–90th $204–$6170%20%10th90th$275Professionalmedian $209 · 10th–90th $204–$3630%50%10th90th$209$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $309.03 / $616.60
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $208.93 / $354.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $501.19 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $275.42 / $380.19
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $263.03
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $407.38 / $407.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $213.80 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $204.17 / $269.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $85.11 / $309.03
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $218.78 / $218.78
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $218.78 / $245.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $263.03 / $616.60
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $812.83 / $1,023.29
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $204.17
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $275.42 / $338.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $204.17 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$134.90 / $204.17 / $245.47