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Wisconsin rates for HCPCS J1840

Injection, kanamycin sulfate, up to 500 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.34 / $18.92 / $26.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $8.34 / $9.84
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00