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Wisconsin rates for HCPCS C9462

Injection, delafloxacin, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.42 / $1.42
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.51