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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
$173.78 / $173.78 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $107.15 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $33.88 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $39.81 / $50.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $112.20 / $112.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $13.18 / $26.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.23 / $56.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $14.45 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $13.18 / $26.30