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Nebraska rates for HCPCS 85290

Clotting; factor XIII (fibrin stabilizing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $54.95 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $33.11 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $25.12 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $31.62 / $39.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $25.12 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.77 / $17.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $33.88 / $41.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $14.79 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.77 / $17.78