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Wisconsin rates for HCPCS 80369

Skeletal muscle relaxants; 1 or 2

Facilitymedian $49 · 10th–90th $16–$1120%20%10th90th$49Professionalmedian $25 · 10th–90th $5–$780%20%10th90th$25$2.0$10.0$50.0$200.0$1.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $338.84 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.37 / $70.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $56.23 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.84 / $74.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $43.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $112.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $14.13 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $3,019.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $63.10
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $54.95 / $79.43
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $14.45 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $14.13 / $41.69