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Nebraska rates for HCPCS J1205

Injection, chlorothiazide sodium, per 500 mg

Facilitymedian $59 · 10th–90th $54–$1170%20%10th90th$59Professionalmedian $59 · 10th–90th $58–$3390%20%40%10th90th$59$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $63.10 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $79.43 / $338.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $53.70 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $58.88 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $269.15 / $426.58
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $40.74 / $60.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $46.77 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $57.54 / $87.10