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Nebraska rates for HCPCS J0278

Injection, amikacin sulfate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.10 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.63 / $3.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $0.72 / $0.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.70 / $0.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.64 / $0.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.86 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.62 / $0.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.65 / $1.03 / $2.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $1.34 / $3.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.63 / $0.63 / $0.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.63 / $0.69