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Nebraska rates for HCPCS 85220

Clotting; factor V (AcG or proaccelerin), labile factor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.48 / $52.89 / $92.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.65 / $11.65 / $113.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.58 / $32.07 / $62.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.41 / $26.82 / $28.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.00 / $63.00 / $63.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $21.61 / $40.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $34.79 / $179.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.59 / $30.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $25.77 / $48.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $35.97 / $46.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.59 / $19.42 / $78.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.59 / $30.49