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Nebraska rates for HCPCS J3472

Injection, hyaluronidase, ovine, preservative free, per 1,000 USP units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $257.04 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $154.88 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $151.36 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $141.25 / $177.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $245.47 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $331.13 / $331.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $251.19 / $251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $173.78 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $331.13 / $331.13