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Wisconsin rates for HCPCS J0587

Inj, Rimabotulinumtoxinb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.69 / $26.01 / $30.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.69 / $31.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.61 / $24.59 / $29.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.29 / $16.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.19 / $18.19 / $21.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $31.54 / $45.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $20.32 / $23.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $13.29 / $13.34
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $26.58 / $26.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $13.34 / $13.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.34 / $13.34 / $26.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.84 / $13.29 / $13.34
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $26.58 / $26.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $20.14 / $40.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.29 / $13.29
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $18.66 / $19.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.29 / $13.29 / $18.20