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Wisconsin rates for HCPCS J1130

Inj diclofenac sodium 0.5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.25 / $0.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.25 / $0.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.25 / $0.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.25 / $0.34