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Nebraska rates for HCPCS J1556

Injection, immune globulin (Bivigam), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.27 / $77.39 / $171.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.27 / $77.39 / $184.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.70 / $83.23 / $87.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.09 / $86.59 / $87.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $78.75 / $98.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.59 / $163.43 / $375.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.27 / $77.39 / $86.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.43 / $92.76 / $142.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.43 / $88.22 / $176.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.39 / $86.68 / $88.22