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Wisconsin rates for HCPCS J7351

Injection Bimatoprost Intracameral Implant 1 Microgram

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.73 / $414.10 / $487.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $220.26 / $293.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.30 / $395.60 / $476.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $213.84 / $271.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.77 / $292.77 / $342.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.84 / $509.47 / $728.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.86 / $321.60 / $365.45
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.36 / $212.36 / $471.19
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.54 / $427.68 / $427.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.36 / $212.36 / $468.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.36 / $212.36 / $427.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $209.91
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.36 / $212.36 / $471.19
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.54 / $427.68 / $427.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $278.94 / $713.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,049.55 / $1,049.55 / $1,049.55
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $213.84 / $213.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.23 / $300.23 / $300.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.84 / $213.84 / $277.99