go back

Wisconsin rates for HCPCS J0735

Injection, clonidine HCl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $40.74 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $29.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $21.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $38.02 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $21.88 / $31.62
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $18.20 / $39.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $36.31 / $45.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $87.10 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $36.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $18.62 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $29.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $27.54