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Wisconsin rates for HCPCS J2704

Inj, Propofol, 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.43 / $70.89 / $136.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $17.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.11 / $0.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.18 / $0.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.14 / $0.23
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.18 / $0.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.98 / $2.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.71
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.18 / $0.18
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.14 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.14