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Nebraska rates for HCPCS J3396

Injection Verteporfin 0.1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $11.83 / $25.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.55 / $29.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.78 / $12.41 / $13.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.41 / $12.93 / $13.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $11.74 / $14.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.55 / $11.83 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.52 / $11.55 / $13.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.43 / $17.25 / $24.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.86 / $13.82 / $28.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.53 / $11.53 / $11.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.54 / $12.69