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Wisconsin rates for HCPCS J2410

Injection, oxymorphone HCl, up to 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $5.56 / $6.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $5.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $3.76 / $8.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $7.15 / $10.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.91 / $4.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.85 / $4.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $4.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.85 / $4.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $9.47 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $2.85 / $4.99
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $4.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $5.40 / $7.57
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $2.85 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $2.85 / $2.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $8.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.88