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Nebraska rates for HCPCS J7177

Injection, human fibrinogen concentrate (Fibryga), 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.21 / $2.36 / $2.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $2.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.32 / $1.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.36 / $1.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.23 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.21 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.21 / $1.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.32 / $1.70 / $2.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.27 / $1.45 / $2.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.17 / $1.23 / $1.32