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Wisconsin rates for HCPCS 80364

Opioids and opiate analogs; 5 or more

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.34 / $6.34 / $10.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.19 / $83.19 / $127.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.63 / $40.78 / $189.88
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.97 / $20.97 / $20.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $20.97 / $20.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.16 / $65.00 / $3,000.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.97 / $20.97 / $20.97
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.96 / $49.96 / $49.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.93 / $15.93 / $15.93