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Nebraska rates for HCPCS J1265

Injection, dopamine HCl, 40 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.66 / $0.96 / $1.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.83 / $1.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $0.89 / $0.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.70 / $0.89 / $0.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.86 / $0.86 / $0.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.83 / $0.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.70 / $1.72 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.66 / $0.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.81 / $1.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.85 / $1.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.83 / $0.83