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Wisconsin rates for HCPCS J2280

Injection, moxifloxacin, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $22.91 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $18.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $18.20 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.75 / $16.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $9.12 / $19.95
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $18.20 / $18.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $8.71 / $19.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $15.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.00 / $26.92
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $9.12 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $9.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.75 / $14.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.12 / $13.80