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Nebraska rates for HCPCS J0841

Injection, crotalidae immune F(ab')2 (equine), 120 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.14 / $1,045.15 / $2,310.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.14 / $1,045.15 / $3,312.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$887.41 / $1,124.05 / $1,183.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.97 / $1,170.25 / $1,183.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.00 / $1,532.00 / $1,532.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.15 / $1,063.24 / $1,329.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.08 / $1,044.14 / $6,321.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.55 / $1,044.14 / $1,148.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.59 / $1,540.75 / $2,054.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,252.97 / $3,215.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$949.63 / $1,273.13 / $2,765.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.89 / $1,045.15 / $1,149.67