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Nebraska rates for HCPCS J0840

Injection, crotalidae polyvalent immune fab (ovine), up to 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,754.23 / $3,630.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,862.09 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,089.30 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $1,995.26 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,862.09 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,548.13 / $15,135.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,862.09 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $2,691.53 / $2,691.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $1,819.70 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,819.70 / $2,754.23