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Wisconsin rates for HCPCS J0715

Injection, ceftizoxime sodium, per 500 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $13.49 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $6.31 / $7.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $5.25
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.24 / $3.24 / $3.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $4.57 / $5.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $6.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $7.24