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Wisconsin rates for HCPCS J0132

Injection, acetylcysteine, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $380.19 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.12 / $10.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $1.15 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.47 / $0.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $1.32
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.78 / $1.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $6.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.51 / $1.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.69 / $0.69 / $1.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $0.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.59