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Nebraska rates for HCPCS J0694

Injection, cefoxitin sodium, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $13.18 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.79 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $4.07 / $5.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $5.25 / $5.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.89 / $5.89 / $5.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $4.79 / $6.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $33.11 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.13 / $8.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.76 / $7.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.79 / $5.01 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $4.79 / $7.08