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Nebraska rates for HCPCS 87903

Nfct Phexyp Resist Tiss Cul Hiv First 1-10 Drugs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.52 / $2,076.46 / $5,634.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.52 / $322.52 / $3,142.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.74 / $581.01 / $1,123.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.62 / $776.97 / $801.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.39 / $995.55 / $1,250.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.20 / $1,327.22 / $2,332.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.20 / $293.20 / $4,017.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.39 / $1,006.64 / $1,531.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.39 / $1,047.95 / $1,399.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.54 / $293.20 / $443.77