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Nebraska rates for HCPCS J1551

Injection, immune globulin (Cutaquig), 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.21 / $14.23 / $31.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $14.23 / $23.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.08 / $15.30 / $16.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.27 / $15.92 / $16.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $14.59 / $18.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.89 / $31.11 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.21 / $14.34 / $16.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.17 / $17.95 / $29.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $17.05 / $21.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.23 / $15.94 / $15.94