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Wisconsin rates for HCPCS J0270

Alprostadil For Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $9.86 / $21.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $9.86 / $14.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $8.91 / $10.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.80 / $10.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $3.91 / $4.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $2.60 / $12.33
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $2.60 / $12.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.27 / $10.27 / $13.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.76 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $2.60 / $12.33
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $5.34 / $7.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.48 / $10.48 / $10.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.19 / $5.30 / $7.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.27 / $10.27 / $12.94