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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
$10.23 / $19.05 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.51 / $9.77
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12