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Wisconsin rates for HCPCS J3265

Injection Torsemide 10 Mg/Ml (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.09 / $5.09 / $5.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.03 / $3.03 / $3.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $5.36 / $7.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.31 / $2.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $3.57 / $3.57
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $3.57 / $3.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $4.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.77 / $3.57 / $3.57
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $3.77 / $6.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $4.63