go back

Nebraska rates for HCPCS J2916

Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $4.26 / $767.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $5.48 / $109.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $2.29 / $2.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.29 / $2.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.02 / $2.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $5.31 / $36.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.18 / $3.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.45 / $2.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $2.76 / $5.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.02 / $2.22