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Wisconsin rates for HCPCS J7685

Tobramycin Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.24 / $62.24 / $138.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.20 / $62.24 / $86.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.49 / $96.23 / $243.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.22 / $130.44 / $186.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.75 / $99.47 / $113.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.94 / $62.24 / $93.36
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.15 / $41.15 / $41.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.20 / $93.36 / $316.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.29 / $14.46 / $30.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $65.00 / $212.25
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.94 / $62.24 / $93.36
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.15 / $41.15 / $41.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.66 / $141.19 / $196.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.04 / $114.04 / $316.83
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.22 / $49.22 / $49.22
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.01 / $127.07 / $197.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $16.22 / $25.95