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Nebraska rates for HCPCS J1566

Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $90.14 / $174.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $81.70 / $178.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.90 / $84.74 / $89.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.73 / $88.31 / $92.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.79 / $82.54 / $103.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.70 / $85.39 / $405.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.53 / $81.70 / $93.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.77 / $122.15 / $164.85
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.21 / $90.02 / $161.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.75 / $78.75 / $78.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.80 / $83.84 / $88.26