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Wisconsin rates for HCPCS J0670

Injection Mepivacaine Hydrochloride Per 10 Ml (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.07 / $16.01 / $95.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.07 / $7.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $4.94 / $4.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $3.95 / $5.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $5.41 / $6.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $8.49 / $12.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $5.13 / $5.83
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $3.82 / $8.56
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $7.90 / $7.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $20.92 / $28.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $7.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $3.82 / $8.56
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $7.90 / $7.90
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.61 / $11.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $3.95 / $3.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $5.55 / $5.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $3.95 / $5.41