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Nebraska rates for HCPCS J0725

Injection Chorionic Gonadotropin Per 1 000 Usp Units (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.51 / $18.44 / $40.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.51 / $18.44 / $56.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.66 / $19.84 / $20.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $19.84 / $20.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.60 / $23.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.06 / $51.90 / $113.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.43 / $17.51 / $19.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.90 / $26.65 / $32.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $26.65 / $55.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $18.44 / $20.28