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Wisconsin rates for HCPCS J3310

Perphenazine Injeciton

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $6.01 / $13.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.01 / $9.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $10.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $15.19 / $21.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.57 / $7.97
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $6.01 / $6.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $6.01 / $6.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $9.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $6.01 / $6.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $6.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $9.76