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Nebraska rates for HCPCS G6058

Drug confirmation

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $22.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.59 / $27.59 / $27.59