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Wisconsin rates for HCPCS J3370

Injection, vancomycin HCl, 500 mg

Insurance Carrier
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.78 / $6.78 / $7.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $5.32 / $7.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $3.61 / $4.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $20.87 / $40.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00