go back

Wisconsin rates for HCPCS J0878

Daptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $64.67 / $383.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $61.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.09 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.07 / $0.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.71
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.05 / $0.06 / $0.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.76 / $1.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.04 / $0.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.05