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Nebraska rates for HCPCS 80375

Drug(s) or substance(s), definitive, qualitative or quantitative, not otherwise specified; 1-3

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.91 / $172.91 / $172.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.21 / $125.53 / $244.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.30 / $34.89 / $35.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.95 / $37.86 / $47.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.46 / $112.04 / $112.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $13.19 / $43.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.10 / $44.10 / $84.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.10 / $43.80 / $62.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.52 / $13.19 / $43.96