go back

Wisconsin rates for HCPCS J2650

Prednisolone Acetate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.89 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.47 / $0.52
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.40
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.32 / $0.40
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $0.52
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.68 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.57 / $0.75