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Nebraska rates for HCPCS J1335

Injection, ertapenem sodium, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $38.65 / $311.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.86 / $85.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $11.16 / $11.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $10.60 / $11.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.86 / $11.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $62.64 / $188.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $39.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.02 / $16.52 / $61.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.83 / $38.67 / $98.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $9.86 / $14.79