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Wisconsin rates for HCPCS J0720

Injection, chloramphenicol sodium succinate, up to 1 g

Facilitymedian $47 · 10th–90th $46$1120%50%10th90th$47Professionalmedian $49 · 10th–90th $46$760%50%10th90th$49$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $46.77 / $46.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $46.77 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $97.72 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $72.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $50.12
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $75.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $50.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $66.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $61.66 / $81.28
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $204.17
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $67.61 / $83.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $66.07