go back

Nebraska rates for HCPCS J2770

Injection, quinupristin/dalfopristin, 500 mg (150/350)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $891.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $758.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $537.03 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $501.19 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $562.34 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $467.74 / $562.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $269.15 / $269.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.89 / $4.27 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $467.74 / $562.34