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Nebraska rates for HCPCS J3310

Injection, perphenazine, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $14.44 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.01 / $10.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $7.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.51 / $7.51 / $11.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.51 / $7.51 / $7.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.27 / $8.27 / $8.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.27 / $8.27 / $8.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.13 / $7.51 / $7.51