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Nebraska rates for HCPCS J0637

Injection Caspofungin Acetate 5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $3.97 / $9.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $3.54 / $18.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $4.01 / $4.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $3.81 / $4.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.54 / $4.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.30 / $12.16 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.27 / $16.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $6.74 / $14.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $11.77 / $17.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $3.54 / $3.54