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Nebraska rates for HCPCS J0895

Injection, deferoxamine mesylate, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $10.72 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.51 / $23.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $9.55 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $9.33 / $9.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.71 / $10.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $16.98 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.12 / $15.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $12.59 / $12.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.51 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.51 / $12.59