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Nebraska rates for HCPCS J1561

Injection, immune globulin, (Gamunex/Gamunex-C/Gammaked), nonlyophilized (e.g., liquid), 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.03 / $77.06 / $108.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.03 / $48.96 / $110.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.57 / $52.66 / $55.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.65 / $53.84 / $55.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.00 / $47.00 / $47.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $49.28 / $61.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.03 / $76.63 / $241.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.03 / $53.00 / $55.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.50 / $73.52 / $104.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.09 / $57.41 / $102.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.96 / $54.84 / $54.84