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Nebraska rates for HCPCS 90284

Immune Globulin Human Subq Infusion 100 Mg Ea

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.53 / $14.89 / $21.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $15.17 / $24.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.88 / $16.64 / $17.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.86 / $28.29 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $16.85 / $23.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $16.44 / $16.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.44 / $16.44 / $16.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.32 / $16.85 / $22.98