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Nebraska rates for HCPCS J1744

Injection, icatibant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.45 / $161.30 / $185.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $67.14 / $112.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.40 / $134.78 / $141.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.78 / $140.44 / $141.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.60 / $127.69 / $159.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.34 / $116.41 / $1,382.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.93 / $69.93 / $125.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.38 / $243.11 / $358.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.38 / $150.38 / $162.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.34 / $46.67 / $51.34