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Nebraska rates for HCPCS J1430

Injection, ethanolamine oleate, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$519.52 / $519.52 / $1,125.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.96 / $519.52 / $1,163.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.15 / $547.39 / $576.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.38 / $570.44 / $588.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.08 / $508.96 / $633.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$473.93 / $519.52 / $2,488.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.57 / $519.52 / $571.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.91 / $737.48 / $995.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.01 / $566.04 / $1,132.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.51 / $508.96 / $559.86