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Nebraska rates for HCPCS J1100

Injection Dexamethasone Sodium Phosphate 1mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $44.10 / $151.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $1.66 / $4.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.26 / $0.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.53 / $0.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $5.20 / $15.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.12 / $0.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.15 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.10