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Nebraska rates for HCPCS J0561

Injection, penicillin G benzathine, 100,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.30 / $57.68 / $965.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.01 / $347.47 / $673.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.48 / $32.28 / $33.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.51 / $32.96 / $33.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $30.01 / $34.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.40 / $48.68 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.98 / $29.30 / $35.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $35.85 / $53.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $23.98 / $39.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.51 / $30.01 / $33.01