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Wisconsin rates for HCPCS J2680

Injection, fluphenazine decanoate, up to 25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.52 / $14.68 / $17.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.52 / $27.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $9.14 / $9.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $9.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $11.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $24.75 / $35.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $14.27 / $16.21
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $7.53 / $14.24
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $14.62 / $14.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $7.53 / $14.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.53 / $7.53 / $14.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.83 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $7.53 / $14.24
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $14.62 / $14.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $11.37 / $29.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.30 / $7.30 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $7.30 / $7.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.26 / $10.26 / $24.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $11.08