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Wisconsin rates for HCPCS J2547

Injection, peramivir, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.52 / $3.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $1.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.11 / $3.61 / $3.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $3.75 / $5.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.62 / $1.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.90 / $1.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.68 / $1.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $2.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $1.90 / $1.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $2.16