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Nebraska rates for HCPCS J0256

Injection, alpha 1-proteinase inhibitor (human), not otherwise specified, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $7.53 / $12.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.46 / $11.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.63 / $5.87 / $6.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $5.87 / $6.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.46 / $6.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.15 / $6.84 / $6,903.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.19 / $7.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $7.64 / $10.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.09 / $11.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.46 / $6.01