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Nebraska rates for HCPCS 80164

Valproic acid (dipropylacetic acid); total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $127.75 / $167.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $12.09 / $33.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $6.77 / $6.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.28 / $20.57 / $22.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $110.00 / $110.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $19.62 / $31.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.94 / $26.90 / $140.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $8.11 / $34.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $27.60 / $42.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.26 / $30.00 / $39.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $8.11 / $27.08