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Nebraska rates for HCPCS J3320

Injection Spectinomycin Dihydrochloride Up To 2 Gm (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $68.20 / $78.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.38 / $28.38 / $47.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.55 / $34.06 / $34.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.35 / $33.71 / $34.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $31.13 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.38 / $28.38 / $53.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.08 / $30.08 / $35.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.26 / $37.49 / $37.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.26 / $33.26 / $37.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $30.08 / $33.09