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Nebraska rates for HCPCS J0360

Injection, hydralazine HCl, up to 20 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $13.80 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.37 / $15.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $5.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $4.79 / $5.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.79 / $5.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $4.79 / $4.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.47 / $5.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $35.48 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $5.25 / $7.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.76 / $6.76
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,737.80 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $4.37 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $4.37 / $6.61