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Nebraska rates for HCPCS J2250

Injection, midazolam HCl, per 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.26 / $33.53 / $143.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.49 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.17 / $0.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $13.52 / $37.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.16 / $0.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.19 / $0.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.23