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Wisconsin rates for HCPCS J1170

Injection, hydromorphone, up to 4 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.35 / $11.62 / $16.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.98 / $7.16 / $8.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.49 / $40.50 / $89.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $2.70 / $5.09
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00