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Wisconsin rates for HCPCS J2540

Penicillin G Potassium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.76 / $25.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.82 / $2.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $0.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $2.50 / $3.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.20 / $1.36
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.88 / $1.42
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $1.58 / $1.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $5.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.88 / $1.42
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $1.58 / $1.58
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.02 / $2.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $0.79 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $1.08