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Wisconsin rates for HCPCS C9101

Injection, oliceridine, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.24 / $2.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.29 / $1.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $1.34 / $1.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $50.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.24
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.32 / $1.32