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Wisconsin rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $28.38 / $63.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $28.38 / $35.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.16 / $30.16 / $42.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.08 / $74.16 / $106.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $32.06 / $38.90
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $28.38 / $28.38
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $14.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $28.38 / $28.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $39.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $28.38 / $28.38
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $14.70 / $14.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $30.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $41.19