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Nebraska rates for HCPCS J3280

Injection, thiethylperazine maleate, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $14.26 / $16.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $5.94 / $9.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.04 / $5.39 / $5.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $5.33 / $5.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $5.25 / $6.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.42 / $11.29 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.76 / $5.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.44 / $5.83 / $11.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $7.62 / $12.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.76 / $4.76