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Nebraska rates for HCPCS 82642

Dihydrotestosterone (DHT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $29.28 / $44.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.92 / $25.51 / $26.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.25 / $44.50 / $48.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.59 / $42.33 / $66.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $34.78 / $139.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $17.57 / $58.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.17 / $60.32 / $127.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.17 / $60.32 / $76.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.69 / $17.57 / $58.56