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Nebraska rates for HCPCS J0878

Daptomycin Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.05 / $85.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.33 / $248.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $0.06 / $1.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.04 / $0.34 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03