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Wisconsin rates for HCPCS J9215

Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU

Facilitymedian $29 · 10th–90th $17–$450%50%10th90th$29Professionalmedian $30 · 10th–90th $28–$380%50%10th90th$30$10.0$20.0$50.0$100.0$200.0$500.0

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
$28.18 / $28.84 / $28.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $29.51 / $31.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $30.20 / $47.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $17.78 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $30.90 / $36.31
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $36.31
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $27.54 / $36.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $40.74
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.11 / $724.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $60.26 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $33.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $36.31 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $85.11 / $158.49
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $35.48 / $724.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.90 / $35.48