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Wisconsin rates for HCPCS J7636

Atropine, inhalation solution, compounded product, administered through DME, unit dose form, per mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.54 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.54 / $0.56 / $0.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.90 / $1.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.39 / $0.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.57 / $0.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.60 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.57 / $0.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $95.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.19