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Wisconsin rates for HCPCS J2794

Risperidone, Long Acting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.27 / $21.33 / $25.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $11.31 / $27.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $20.30 / $24.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $13.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $15.04 / $17.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $27.43 / $39.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.69 / $18.95 / $21.54
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $10.94 / $10.98
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $21.96 / $21.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $10.94 / $10.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.94 / $10.94 / $21.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $10.94 / $10.98
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $21.96 / $21.96
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $15.83 / $34.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.98 / $10.98 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $10.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $15.42 / $16.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $15.48