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Nebraska rates for HCPCS J3303

Injection Triamcinolone Hexacetonide Per 5mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.80 / $17.01 / $21.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.00 / $7.80 / $13.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.07 / $3.89 / $4.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.04 / $4.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $4.69 / $8.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.75 / $14.82 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $8.13 / $9.75
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.71 / $3.82 / $4.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.82 / $6.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.72 / $8.13 / $8.94