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Wisconsin rates for HCPCS J1940

Injection Furosemide Up To 20 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.99 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.89 / $1.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $16.11 / $34.95
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.59 / $1.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00