go back

Nebraska rates for HCPCS J2504

Injection Pegademase Bovine 25 Iu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.25 / $726.65 / $920.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $559.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.43 / $395.74 / $416.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.74 / $412.39 / $416.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.96 / $375.00 / $468.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.13 / $633.17 / $7,359.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.00 / $357.54 / $416.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.54 / $367.44 / $523.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.54 / $435.32 / $526.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.66 / $357.54 / $393.29