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Wisconsin rates for HCPCS J0132

Acetylcysteine Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.74 / $505.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.40 / $2.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $1.34 / $1.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $1.09 / $1.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $1.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.78 / $1.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $6.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $1.32
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.78 / $1.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.69 / $2.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.55 / $2.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.59