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Nebraska rates for HCPCS J7178

Injection, human fibrinogen concentrate, not otherwise specified, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.52 / $2.92 / $3.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.52 / $2.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $1.63 / $1.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.70 / $1.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.36 / $1.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.52 / $1.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.52 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.52 / $1.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.22 / $2.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.78 / $3.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.52 / $1.67