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Nebraska rates for HCPCS J1730

Injection, diazoxide, up to 300 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.54 / $248.76 / $286.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.54 / $103.54 / $173.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.97 / $126.62 / $126.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.29 / $125.34 / $126.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.50 / $115.50 / $144.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.81 / $196.73 / $3,450.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.41 / $129.41 / $142.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.00 / $126.56 / $205.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.00 / $166.29 / $253.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $129.41 / $129.41