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Nebraska rates for HCPCS 38242

Allogeneic lymphocyte infusions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.64 / $117.64 / $5,356.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,478.60 / $8,452.94 / $16,482.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.52 / $2,730.94 / $7,772.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.34 / $372.66 / $1,671.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,044.00 / $3,726.00 / $7,934.00