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Wisconsin rates for HCPCS J7683

Triamcinolone Inhalation Solution Administered Through Dme Concentrated Form Per Milligram (Special Coverage Instructions Apply. See Mcm: 2100.5)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.46 / $0.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $7.53 / $19.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.80 / $3.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $7.78 / $8.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.68 / $5.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $5.54 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $4.53 / $5.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.68 / $5.54
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.21 / $3.21 / $3.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $11.04 / $15.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.92 / $8.92 / $95.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $3.85 / $3.85
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $9.83 / $15.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.85 / $4.53 / $5.71