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Nebraska rates for HCPCS J3230

Injection, chlorpromazine HCl, up to 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $42.66 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $23.99 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $23.99 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $26.30 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $30.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $66.07 / $489.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $26.92 / $29.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $44.67 / $44.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $28.84 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $23.99 / $35.48