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Nebraska rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.77 / $158.25 / $298.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.25 / $27.57 / $91.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.53 / $133.78 / $260.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.75 / $63.49 / $68.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.56 / $59.89 / $94.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.06 / $52.38 / $275.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $25.06 / $83.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.56 / $58.48 / $106.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.74 / $63.00 / $107.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $25.06 / $83.54