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Wisconsin rates for HCPCS J3465

Injection, voriconazole, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.51 / $2.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.29 / $3.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.93 / $0.93 / $0.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $1.62 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.98 / $1.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.66
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.55 / $3.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.78 / $1.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $2.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $0.87 / $2.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.07 / $1.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.76 / $1.20