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Nebraska rates for HCPCS J2150

Injection, mannitol, 25% in 50 ml

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $1.38 / $1.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.39 / $2.45 / $2.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $2.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $100.00 / $126.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $3.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $2.72 / $5.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.92 / $5.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $2.24 / $2.46