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Wisconsin rates for HCPCS J9175

Injection, Elliotts' B solution, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.78 / $21.83 / $21.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $10.03 / $12.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.73 / $10.19 / $12.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $9.91 / $14.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $7.71 / $10.40
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $10.16 / $12.24
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $10.16 / $12.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $11.35 / $673.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.63 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.67 / $9.91 / $12.24
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $2.94 / $2.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $8.30 / $12.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.40 / $10.40 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $12.97 / $673.81
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $6.70 / $12.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.51 / $12.14