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Nebraska rates for HCPCS 90396

Varicella-Zoster Immune Globulin Human Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.37 / $2,736.91 / $3,373.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,326.37 / $2,326.37 / $3,904.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.75 / $125.00 / $125.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.75 / $123.75 / $125.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.50 / $2,554.44 / $2,728.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,359.90 / $2,619.08 / $11,271.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,584.10 / $2,819.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.48 / $2,621.25 / $4,737.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.22 / $182.99 / $252.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,349.17 / $2,584.10 / $2,772.03