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Wisconsin rates for HCPCS J0715

Ceftizoxime Sodium / 500 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $10.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.55 / $4.55 / $5.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $7.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.24 / $13.40 / $19.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.79 / $7.03
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $5.20
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $5.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $6.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $4.55 / $5.20
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $5.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.24 / $5.24 / $7.17