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Nebraska rates for HCPCS J1640

Panhematin IV SOLR 350 MG

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.17 / $34.18 / $75.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.17 / $34.18 / $64.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.03 / $36.77 / $38.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $38.28 / $38.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $34.18 / $42.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $34.17 / $165.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $34.17 / $38.07
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.57 / $49.68 / $66.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.82 / $38.14 / $60.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.47 / $34.18 / $37.60