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Wisconsin rates for HCPCS J1700

Injection Hydrocortisone Acetate Up To 25 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.03 / $1.03 / $2.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.03 / $1.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.79 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.77 / $0.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $1.03
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $1.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.35 / $1.03
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $16.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.49