go back

Nebraska rates for HCPCS J1600

Injection, gold sodium thiomalate, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $33.64 / $38.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.68 / $12.68 / $21.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.61 / $34.14 / $34.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.43 / $33.79 / $34.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.15 / $31.13 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.50 / $24.09 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $17.50 / $18.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.91 / $17.05 / $31.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.02 / $22.33 / $36.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.63 / $17.50 / $17.50