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Nebraska rates for HCPCS J1554

Injection, immune globulin (Asceniv), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.51 / $496.74 / $1,097.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.51 / $496.74 / $833.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.77 / $534.24 / $562.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.99 / $556.47 / $562.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $506.06 / $632.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.41 / $496.50 / $2,483.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.51 / $496.74 / $566.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.96 / $796.90 / $1,163.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.87 / $595.80 / $742.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $528.53 / $556.35