go back

Nebraska rates for HCPCS J2425

Injection Palifermin 50 Micrograms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.74 / $35.90 / $78.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.54 / $35.90 / $60.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.19 / $38.24 / $40.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.24 / $39.85 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $35.54 / $43.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.71 / $35.90 / $169.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $35.90 / $40.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.26 / $43.10 / $64.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.84 / $33.90 / $50.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.77 / $35.54 / $39.11