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Wisconsin rates for HCPCS J9030

Bcg Live Intravesical Instillation 1 Mg (Reinstated Code) Old Description: Bacille Calmett Guerin Bcg Termed 3/31/2003

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.36 / $6.24 / $7.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.36 / $71.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.08 / $6.03 / $7.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.26 / $4.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $4.55 / $5.98
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.26 / $7.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $5.96 / $10.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.98 / $5.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $3.26 / $3.67
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.52 / $6.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $3.12 / $3.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.47 / $13.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.12 / $3.26 / $3.61
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $6.52 / $6.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.87 / $9.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.26 / $3.60 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $5.52 / $13.24
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $4.58 / $4.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.26 / $3.36 / $4.12