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Wisconsin rates for HCPCS J0456

Azithromycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.92 / $19.10 / $80.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.10 / $10.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $2.79 / $3.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $5.00 / $7.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.05 / $4.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.61 / $5.70
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.08 / $12.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $35.35 / $65.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $2.61 / $4.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.61 / $5.70
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.92 / $4.08 / $12.30
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.17 / $7.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $2.86 / $4.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $3.06