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Nebraska rates for HCPCS J1725

Hydroxyprogesterone Caproate

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.55 / $0.69