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Wisconsin rates for HCPCS M1145

Most favored nation (MFN) model drug add-on amount, per dose, (do not bill with line items that have the JW modifier)

Rates data updated July 2026.

How much rates vary

Facilitymedian $76 · 10th to 90th $65 to $100
$100facility $76

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00