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Nebraska rates for HCPCS J1459

Injection, immune globulin (Privigen), intravenous, nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.43 / $97.53 / $9,180.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $84.63 / $8,326.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.08 / $54.57 / $57.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.24 / $56.52 / $57.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.00 / $49.00 / $49.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.74 / $62.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.43 / $74.73 / $245.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $50.74 / $57.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.86 / $73.92 / $101.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.49 / $57.14 / $104.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.74 / $53.99 / $56.83