go back

Amantadine Hydrochloride, Oral

Wisconsin rates for HCPCS G9017

Amantadine hcl 100mg oral

Rates data updated July 2026.

How much does Amantadine Hydrochloride, Oral cost?

$1.45

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $1.45 for this service. Most negotiated rates run $1.26 to $5.01.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $100Professionalmedian $1 · 10th to 90th $1 to $1
$2$5$10$20$50$100facility $6professional $1

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$3.16
Typical High
$5.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.26
Typical High
$1.45
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$100.00

Where Wisconsin sits

The same service costs 47863.0 times more in Kentucky than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 19th of 35

$1.45

KY $53,703GA $1.12

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.