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Wisconsin rates for HCPCS J7638

Dexamethasone Inhalation Solution Administered Through Dme Unit Dose Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.18
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
$0.10 / $0.10 / $0.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $90.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $95.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.13 / $0.27