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Wisconsin rates for HCPCS J0692

Cefepime Hcl For Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $36.92 / $109.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.26 / $4.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $1.53 / $1.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $2.95 / $4.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.97 / $2.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.23 / $2.86
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.44 / $4.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $10.52 / $16.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.23 / $2.86
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.44 / $4.01
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.86 / $4.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.71 / $3.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.95