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Wisconsin rates for HCPCS J1201

Injection Cetirizine Hydrochloride 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $31.98 / $37.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $17.01 / $28.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.65 / $30.56 / $36.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $20.98
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.62 / $22.62 / $26.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.52 / $36.10 / $51.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.42 / $23.51 / $26.71
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $16.39 / $36.36
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $33.04 / $33.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $16.39 / $36.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $16.39 / $33.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $38.11 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $16.39 / $36.36
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $33.04 / $33.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.51 / $24.22 / $52.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $16.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $23.19 / $23.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.62 / $15.62 / $36.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $22.13