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Nebraska rates for HCPCS 80159

Clozapine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $53.70 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.14 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $104.71 / $239.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $30.90 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $38.90 / $47.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $24.55 / $95.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $22.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $41.69 / $51.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $18.20 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.02 / $22.39