go back

Wisconsin rates for HCPCS C9248

Injection Clevidipien Butyrate 1 Mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $2.79 / $3.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $55.00 / $85.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00