go back

Wisconsin rates for HCPCS J1590

Gatifloxacin injection

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.80 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.77 / $0.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00