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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
$1.13 / $2.00 / $5,117.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $826.50 / $1,319.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1.20 / $1.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.24 / $1.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $2.58 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.13 / $1.25
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.67 / $2.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.37 / $2.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.11 / $1.67