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Wisconsin rates for HCPCS J1960

Levorphanol Tartrate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $4.84 / $10.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.43 / $8.11 / $11.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $5.01 / $5.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $3.35 / $6.41
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $3.35 / $6.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $5.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.67 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.36 / $3.35 / $6.41
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $6.94 / $9.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $5.63 / $10.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.25 / $5.82