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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
$79.43 / $117.49 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $81.28 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $85.11 / $91.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $87.10 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $81.28 / $102.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $147.91 / $380.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $87.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $79.43 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $91.20