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Nebraska rates for HCPCS J0120

Injection, tetracycline, up to 250 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.31 / $31.98 / $36.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.31 / $13.31 / $22.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $12.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.29 / $25.29 / $25.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.63