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Nebraska rates for HCPCS J0706

Injection, caffeine citrate, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $2.79 / $3.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.60 / $0.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.62 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.94 / $1.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.04 / $2.20 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.21 / $1.42
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $3.66 / $5.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.75 / $7.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.14 / $1.21 / $1.33