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Wisconsin rates for HCPCS J3243

Injection, tigecycline, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.29 / $1.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.70 / $3.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.07 / $1.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.71 / $1.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $1.66
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.78 / $0.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $0.51 / $1.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.51 / $0.51 / $0.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $1.17
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $2.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.89