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Nebraska rates for HCPCS C9047

Injection, caplacizumab-yhdp, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.07 / $1,797.34 / $2,066.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.07 / $748.07 / $1,255.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.83 / $794.83 / $794.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,421.33 / $3,853.40 / $3,853.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.53 / $1,387.22 / $1,561.04