go back

Wisconsin rates for HCPCS J7604

Acetylcysteine Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $101.00 / $101.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.90 / $2.27 / $3.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.00 / $95.00 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $90.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $95.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $0.97 / $0.97