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Wisconsin rates for HCPCS J2310

Injection Naloxone Hydrochloride Per 1 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.63 / $7.63 / $8.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.67 / $21.36 / $30.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $11.37 / $12.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.18 / $36.18 / $56.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.21 / $9.21 / $9.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00