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Wisconsin rates for HCPCS J2543

Injection Piperacillin Sodium/Tazobactam Sodium 1 Gram/0.125 Grams (1.125 Grams) (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $62.21 / $228.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.10 / $4.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.35
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.47 / $1.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $2.68 / $3.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.84 / $2.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.11 / $2.13
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.14 / $3.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $11.61 / $30.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $2.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.11 / $2.13
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $2.14 / $3.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.67 / $4.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.50 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.07 / $2.25