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Nebraska rates for HCPCS J0770

Colistimethate Sodium Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.39 / $19.39 / $28.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $13.06 / $40.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.09 / $14.05 / $14.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $14.05 / $14.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.19 / $13.06 / $15.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.64 / $31.18 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $11.39 / $17.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $14.59 / $20.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $16.16 / $36.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.66 / $12.66 / $19.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $13.06 / $14.37