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Wisconsin rates for HCPCS J2360

Injection Orphenadrine Citrate Up To 60 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.73 / $44.04 / $86.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.67 / $11.52 / $16.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $14.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.32 / $15.32 / $17.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.19 / $21.35 / $30.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $15.15 / $17.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $9.44 / $24.94
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $22.38 / $22.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $42.57 / $81.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $9.44 / $19.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.33 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.30 / $9.44 / $24.94
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $22.38 / $22.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $13.81 / $43.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.19 / $11.19 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $11.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $15.71 / $15.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.19 / $11.19 / $15.67