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Nebraska rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Facilitymedian $2 · 10th–90th $1–$20%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%10th90th$1$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $2.19 / $2.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.23 / $2.09
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.38 / $1.41
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.35 / $1.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.55
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.20 / $85.11
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.20 / $1.32
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $1.32 / $1.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.23 / $2.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.23 / $1.32