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Wisconsin rates for HCPCS J7325

Synvisc IX SOSY 16 MG/2ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.19 / $18.18 / $27.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $437.86 / $2,501.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $14.71 / $17.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $10.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.89 / $10.89 / $12.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $22.25 / $31.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $14.22 / $16.16
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $9.09 / $16.92
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $15.90 / $15.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.09 / $9.09 / $61.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.09 / $9.09 / $15.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $9.25 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $9.09 / $16.92
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $15.90 / $15.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $12.38 / $28.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $7.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.16 / $11.16 / $18.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $7.95 / $11.93