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Wisconsin rates for HCPCS J2405

Ondansetron Hcl Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $37.78 / $87.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $1.37 / $5.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.13 / $0.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.18 / $0.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.15 / $0.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.18 / $0.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $8.03 / $13.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.14 / $1.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.71
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.18 / $0.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.13 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $0.82 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $0.82 / $0.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.10 / $1.43