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Nebraska rates for HCPCS J1439

Injection, ferric carboxymaltose, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.24 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $3.24 / $1,412.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.26 / $1.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.23 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $2.45 / $85.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.74 / $1.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.02 / $1.12 / $2.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.12 / $1.70