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Wisconsin rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.73 / $22.21 / $26.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.45 / $40.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $16.32 / $16.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $16.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.88 / $17.88 / $20.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.06 / $29.84 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $21.71 / $24.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $11.39 / $28.51
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $26.12 / $26.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $11.39 / $24.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $11.39 / $26.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.94 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $11.39 / $28.51
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.03 / $26.12 / $26.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $18.51 / $38.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $13.06
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $18.34 / $24.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.67 / $25.67 / $27.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.06 / $13.06 / $19.59