go back

Nebraska rates for HCPCS J1742

Injection, ibutilide fumarate, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.33 / $637.45 / $807.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.33 / $292.33 / $828.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.11 / $220.54 / $232.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.53 / $229.83 / $232.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.91 / $261.14 / $310.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.06 / $357.96 / $1,581.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.30 / $298.30 / $472.19
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.61 / $327.20 / $450.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.85 / $309.36 / $583.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.39 / $298.30 / $328.13