go back

Wisconsin rates for HCPCS J9199

Injection, infugem, 200 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.22 / $178.16 / $254.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.78 / $79.26 / $94.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.24 / $132.24 / $132.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.64 / $200.64 / $200.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.24 / $132.24 / $132.24
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.64 / $200.64 / $200.64