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Wisconsin rates for HCPCS J3310

Injection, perphenazine, up to 5 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.32 / $15.49 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.08 / $8.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $6.03 / $6.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $9.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $10.23