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Nebraska rates for HCPCS J1575

Injection, immune globulin/hyaluronidase, 100 mg immuneglobulin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $40.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $34.89 / $9,427.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.41 / $19.52 / $20.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $20.34 / $20.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $18.14 / $22.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.09 / $18.39 / $87.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $18.39 / $20.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.88 / $26.54 / $35.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.21 / $21.08 / $37.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.14 / $19.30 / $20.32