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Nebraska rates for HCPCS J1571

Injection, hepatitis B immune globulin (Hepagam B), intramuscular, 0.5 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $79.02 / $147.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $71.66 / $166.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.58 / $71.67 / $75.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.67 / $75.43 / $81.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.38 / $66.64 / $82.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.66 / $79.02 / $325.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.15 / $71.66 / $81.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.17 / $98.91 / $131.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.81 / $81.47 / $150.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $74.64 / $74.64