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Nebraska rates for HCPCS J0795

Injection, corticorelin ovine triflutate, 1 mcg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.76 / $21.05 / $24.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.76 / $8.76 / $24.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $10.40 / $10.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.84 / $10.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.31 / $9.75 / $12.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $16.64 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $10.95 / $10.95
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.05 / $9.90 / $13.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $10.85 / $18.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $10.95 / $10.95