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Nebraska rates for HCPCS J0716

Injection Centruroides Immune F(Ab)2 Up To 120 Milligrams

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,295.32 / $12,100.20 / $13,915.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,036.26 / $5,036.26 / $8,451.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,718.88 / $4,648.59 / $5,351.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,859.01 / $6,295.32 / $25,317.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,246.10 / $5,246.10 / $6,295.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,198.65 / $8,638.37 / $11,277.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,300.52 / $6,300.52 / $6,300.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,418.32 / $5,923.47 / $12,866.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,983.80 / $5,246.10 / $5,770.71