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Nebraska rates for HCPCS J0745

Injection, codeine phosphate, per 30 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.86 / $3.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.51 / $1.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.48 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.78 / $158.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.51 / $1.51 / $1.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.29 / $2.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.58 / $2.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.51 / $1.51