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Nebraska rates for HCPCS J2790

Rho D Immune Globulin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.42 / $126.53 / $217.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.14 / $115.00 / $209.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.11 / $93.48 / $93.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.64 / $92.37 / $93.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.59 / $82.57 / $98.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $236.03 / $536.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.16 / $82.42 / $108.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.59 / $98.91 / $112.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.87 / $100.24 / $190.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.45 / $82.58 / $90.84