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Wisconsin rates for HCPCS J0945

Brompheniramine Maleate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.74 / $0.74 / $1.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.74 / $0.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.64 / $1.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.79 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.55 / $0.63 / $0.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.40 / $0.74
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.40 / $0.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.40 / $0.74
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.54 / $0.54
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.77 / $1.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $1.10