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Nebraska rates for HCPCS J2760

Injection, phentolamine mesylate, up to 5 mg

Facilitymedian $427 · 10th–90th $288–$8320%20%10th90th$427Professionalmedian $437 · 10th–90th $417–$1,2300%50%10th90th$437$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $575.44 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $436.52 / $1,230.27
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $316.23 / $478.63
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $426.58 / $537.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $446.68 / $2,238.72
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $436.52 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $891.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $416.87 / $549.54