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Wisconsin rates for HCPCS Q2028

Injection, sculptra, 0.5 mg

Facilitymedian $2 · 10th–90th $1–$50%10%10th90th$2Professionalmedian $1 · 10th–90th $1–$6760%20%10th90th$1$1.0$5.0$20.0$100.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.38 / $1.38 / $1.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $645.65 / $676.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $4.68 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.87 / $1.82 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.85 / $0.95
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.78 / $0.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.62 / $0.78 / $1.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.87
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.48 / $1.48
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.66 / $0.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.91