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Nebraska rates for HCPCS J2720

Injection Protamine Sulfate Per 10 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $3.36 / $148.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $1.75 / $2.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.88 / $1.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.87 / $1.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.43 / $1.74 / $1.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $3.72 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.64 / $1.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.68 / $2.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.43 / $2.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.66 / $1.75 / $1.93