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Nebraska rates for HCPCS 80197

Tacrolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.99 / $108.05 / $331.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.06 / $12.44 / $88.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $9.53 / $9.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $20.87 / $22.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.00 / $111.00 / $111.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.69 / $19.62 / $31.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.06 / $52.80 / $225.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.24 / $54.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $27.97 / $43.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $30.09 / $39.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $8.24 / $27.46