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Nebraska rates for HCPCS B4187

Omegaven, 10 g lipids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.51 / $15.51 / $15.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.51 / $15.51 / $15.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.59 / $795.36 / $1,550.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $15.75 / $15.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $18.75 / $23.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.47 / $150.34 / $150.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $13.55 / $30.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.92 / $20.49 / $23.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.88 / $20.49 / $35.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $12.87 / $29.43