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Wisconsin rates for HCPCS J0706

Injection Caffeine Citrate 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $2.59 / $98.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $2.75 / $9.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.79 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $5.01 / $5.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.45 / $6.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.45 / $6.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.45 / $6.41
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $6.86 / $9.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $5.40 / $9.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.82