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Wisconsin rates for HCPCS J3370

Injection, vancomycin HCl, 500 mg

Facilitymedian $10 · 10th–90th $2–$400%5%10th90th$10Professionalmedian $2 · 10th–90th $2–$40%20%10th90th$2$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.37 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $2.63 / $4.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $21.38 / $40.74
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $5.01
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.95 / $1.95 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $1.86