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Nebraska rates for HCPCS J1457

Injection Gallium Nitrate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $4.61 / $5.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $2.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $2.35 / $2.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.23 / $2.33 / $2.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.25 / $2.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $2.40 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.66 / $2.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.22 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.40 / $2.40