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Nebraska rates for HCPCS J2460

Injection, oxytetracycline HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $2.11 / $2.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.80 / $1.06 / $1.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.05 / $1.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.88 / $0.88 / $1.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $0.94 / $1.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.78 / $1.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.94 / $1.03