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Wisconsin rates for HCPCS J0224

Oxlumo SC SOLN 94.5 MG/0.5ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.92 / $641.75 / $755.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $338.92 / $565.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.31 / $608.74 / $733.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $417.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.50 / $450.50 / $526.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.05 / $419.06 / $884.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $498.38 / $566.34
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.05 / $329.10 / $724.96
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.65 / $658.10 / $658.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.10 / $329.10 / $724.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.10 / $329.10 / $658.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $85.00 / $777.99
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.05 / $329.10 / $724.96
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.65 / $658.10 / $658.10
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $494.22 / $1,062.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.25 / $1,594.25 / $1,594.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $329.05
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.99 / $461.99 / $461.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.05 / $329.05 / $427.77