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Wisconsin rates for HCPCS J0699

Injection Cefiderocol 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $4.68 / $5.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.49 / $4.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $4.48 / $5.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $5.54 / $7.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $3.39 / $3.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.84 / $4.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $4.99
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.84 / $4.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $3.54 / $7.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $2.42
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.40 / $3.40 / $3.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.42 / $2.42 / $3.31