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Chloroquine Injection

Wisconsin rates for HCPCS J0390

Injection, chloroquine HCl, up to 250 mg

Rates data updated July 2026.

How much does Chloroquine Injection cost?

$20.42per 250 mg

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $20.42 for each 250 mg of this drug. The price depends on where it is billed: about $20.89 from a physician practice, and about $16.60 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 250 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$20.89
At a hospital outpatient department
$16.60

The same drug, in the same amount, costs 21% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$20.89$16.60 to $20.89
FacilityA hospital or hospital-owned outpatient department$16.60$16.60 to $37.15

How much rates vary

Facilitymedian $17 · 10th to 90th $17 to $49Professionalmedian $21 · 10th to 90th $17 to $23
$20$50$100facility $17professional $21

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$37.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$20.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$25.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$43.65
Typical High
$74.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.20
Median
$20.42
Typical High
$22.91
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Medica
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$26.92
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$85.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
United
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$20.89
Typical High
$28.18

Where Wisconsin sits

The same service costs 4.2 times more in Kentucky than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 9th of 51

$20.42

KY $56.23MN $13.49

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.