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Wisconsin rates for HCPCS J2265

Minocycline Hydrochloride

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $2.48 / $5.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $3.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.94 / $5.74 / $5.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $2.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $5.99 / $8.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.59 / $3.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $3.10 / $3.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $2.67 / $3.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $3.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.26 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $3.10 / $3.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2.64 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.64
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $1.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.59 / $3.55