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Nebraska rates for HCPCS G9017

Amantadine Hcl 100mg Oral

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.23 / $1.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.37 / $2.09