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Nebraska rates for HCPCS J0744

Injection, ciprofloxacin for intravenous infusion, 200 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.31 / $5.57 / $255.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.90 / $3.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $3.12 / $3.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $3.12 / $3.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.14 / $2.67 / $2.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $29.86 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.31 / $3.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.66 / $2.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.66 / $2.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.76 / $2.90 / $3.19