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Nebraska rates for HCPCS J0456

Injection, azithromycin, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.61 / $5.20 / $131.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.61 / $10.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.31 / $2.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.31 / $2.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.45 / $3.45 / $3.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.29 / $2.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.96 / $51.74 / $113.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.61 / $3.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.09 / $4.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.33 / $7.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.04 / $2.24