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Nebraska rates for HCPCS J1559

Injection Immune Globulin (Hizentra) 100 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $17.05 / $31.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.12 / $14.34 / $28.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.17 / $15.42 / $16.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.18 / $15.83 / $16.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.91 / $14.34 / $17.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $15.48 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $14.34 / $16.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.31 / $20.46 / $27.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.51 / $15.70 / $26.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.91 / $15.26 / $16.05