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Wisconsin rates for HCPCS J2300

Injection Nalbuphine Hydrochloride Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.62 / $6.84 / $69.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.82 / $8.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $4.63 / $4.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.70 / $4.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $5.05 / $5.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $8.76 / $12.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $4.38 / $4.98
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $3.51 / $7.85
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $7.40 / $7.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $3.51 / $27.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $3.51 / $7.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.65 / $3.51 / $7.85
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $7.40 / $7.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $4.62 / $11.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.70 / $3.70 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.70 / $3.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.67 / $5.19 / $5.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.70 / $3.70 / $5.57