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Chlorothiazide Injection

Wisconsin rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Rates data updated July 2026.

Facilitymedian $71 · 10th–90th $48$1410%10%20%10th90th$71Professionalmedian $48 · 10th–90th $47$1120%50%10th90th$48$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$93.33
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$47.86
Typical High
$141.25
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$60.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$141.25
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$60.26
Typical High
$107.15
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$87.10
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$104.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$87.10
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$79.43
Typical High
$104.71
Quartz
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$61.66
Typical High
$117.49
Quartz
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$144.54
Typical High
$426.58
Quartz
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$50.12
Security Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$104.71
Typical High
$128.82
United
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$134.90
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$81.28