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Nebraska rates for HCPCS C9293

Injection, glucarpidase, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.04 / $997.19 / $1,146.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.04 / $415.04 / $518.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.98 / $440.98 / $440.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.27 / $652.20 / $751.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.69 / $1,754.69 / $1,754.69