go back

Nebraska rates for HCPCS J0470

Injection, dimercaprol, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.34 / $111.95 / $141.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.34 / $51.34 / $86.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.78 / $64.31 / $67.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.31 / $67.03 / $67.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.55 / $60.75 / $75.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.18 / $97.55 / $299.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.78 / $56.42 / $64.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.60 / $70.30 / $116.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.76 / $67.76 / $110.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $56.42 / $62.06