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Wisconsin rates for HCPCS J0712

Injection Ceftaroline Fosamil 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $8.27 / $9.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.34 / $8.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.29 / $7.83 / $9.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $5.37
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $5.79 / $6.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.23 / $9.56 / $13.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $5.97 / $6.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.24 / $9.27
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $8.46 / $8.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.24 / $9.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $8.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $4.24 / $9.27
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $8.46 / $8.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.61 / $12.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $4.23
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.94 / $5.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.23 / $4.23 / $8.88