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Wisconsin rates for HCPCS J2650

Injection, prednisolone acetate, up to 1 ml

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $18.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.78 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.44 / $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
$0.58 / $0.58 / $0.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $64.57 / $85.11
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 / $1.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.58 / $0.58 / $0.79