go back

Wisconsin rates for HCPCS J0330

Injection, succinylcholine chloride, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $83.18 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.38 / $63.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.85 / $2.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.87 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.87 / $1.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.85 / $1.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $5.89 / $16.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $1.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.58 / $2.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $0.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.17 / $2.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.85 / $1.20