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Nebraska rates for HCPCS J1573

Injection, hepatitis B immune globulin (Hepagam B), intravenous, 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 / $66.64 / $120.26
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 / $400.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.15 / $71.66 / $81.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.18 / $100.32 / $154.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.04 / $78.18 / $107.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.64 / $66.64 / $66.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.64 / $70.90 / $74.64