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Wisconsin rates for HCPCS J2212

Injection, methylnaltrexone, 0.1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.51 / $1.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $1.02 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.44 / $0.50
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.70 / $1.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.35 / $1.70 / $1.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $1.58 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.91 / $1.91 / $1.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $2.14