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Wisconsin rates for HCPCS J7503

Tacrolimus, extended release, (Envarsus XR), oral, 0.25 mg

Facilitymedian $2 · 10th–90th $2–$60%20%40%10th90th$2Professionalmedian $2 · 10th–90th $1–$30%20%40%10th90th$2$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$1.95 / $2.82 / $5.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $3.72 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.14 / $3.47
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.66 / $1.82 / $2.00
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.63 / $3.80
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $2.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $549.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $64.57 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.91
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.91 / $3.16
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.88 / $5.13
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.86 / $85.11 / $95.50
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.75 / $549.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $3.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.86 / $2.09