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Nebraska rates for HCPCS 80220

Drug Assay Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $18.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.48 / $13.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.40 / $121.87 / $237.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.16 / $28.32 / $30.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $33.95 / $42.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.18 / $22.14 / $88.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.18 / $11.18 / $37.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.37 / $32.61 / $111.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $31.28 / $40.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $7.83 / $11.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.62 / $11.18 / $20.50