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Nebraska rates for HCPCS J2704

Injection, propofol, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $82.56 / $317.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $4.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.10 / $0.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $1.57 / $8.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $0.13 / $0.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.14 / $0.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.10