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Nebraska rates for HCPCS J2760

Phentolaine Mesylate Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $436.51 / $954.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $436.51 / $940.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.82 / $464.64 / $489.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.63 / $484.19 / $494.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $457.76 / $572.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.51 / $446.80 / $2,246.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.37 / $436.51 / $480.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.55 / $591.95 / $938.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.34 / $454.34 / $931.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.42 / $432.02 / $475.22