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Nebraska rates for HCPCS J2515

Injection, pentobarbital sodium, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.70 / $110.55 / $140.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.70 / $50.70 / $88.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.19 / $25.59 / $25.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $25.32 / $25.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.03 / $28.78 / $53.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.39 / $96.33 / $237.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.54 / $52.82 / $63.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.15 / $30.51 / $61.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $37.14 / $77.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.56 / $71.56 / $111.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.18 / $52.82 / $58.10