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Nebraska rates for HCPCS J2540

Injection, penicillin G potassium, up to 600,000 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.79 / $1.52 / $22.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.88 / $2.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.68 / $0.90 / $0.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.90 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.14 / $1.14 / $1.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.79 / $0.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.77 / $1.72 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $0.88 / $0.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.94 / $1.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.05 / $2.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.79 / $0.79