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Nebraska rates for HCPCS 87625

Iadna Human Papillomavirus Types 16 & 18 Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.76 / $149.13 / $422.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.76 / $26.76 / $260.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.36 / $104.38 / $201.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.56 / $64.45 / $66.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.66 / $74.34 / $103.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.33 / $107.07 / $192.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.33 / $24.33 / $138.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.66 / $78.25 / $103.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.66 / $74.34 / $103.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.46 / $47.44 / $82.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.11 / $24.33 / $81.09