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Wisconsin rates for HCPCS J0360

Injection, hydralazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.43 / $41.91 / $119.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.77 / $8.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.00 / $7.00 / $7.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $7.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.67 / $7.67 / $8.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.42 / $9.83 / $14.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $8.72 / $9.91
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $5.19 / $12.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $11.20 / $11.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $36.04 / $46.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.19 / $11.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $5.19 / $12.13
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $11.20 / $11.20
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $5.60 / $13.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $7.86 / $7.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $8.40