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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
$5.13 / $10.57 / $203.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.13 / $19.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $5.36 / $5.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.41 / $5.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.92 / $5.92 / $5.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.09 / $6.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.79 / $32.75 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.13 / $9.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.34 / $6.01 / $6.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.13 / $6.12 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $4.78 / $5.26