go back

Nebraska rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $54.95 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.96 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $58.88 / $114.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $20.42 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $26.30 / $32.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $16.98 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $8.13 / $14.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $27.54 / $34.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.03 / $12.02 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.13 / $14.79