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Nebraska rates for HCPCS J7181

Injection, Factor XIII A-subunit, (recombinant), per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.29 / $34.90 / $40.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $18.16 / $30.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.41 / $19.52 / $20.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.52 / $20.34 / $20.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.66 / $18.16 / $22.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.13 / $18.29 / $86.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $18.29 / $20.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.57 / $26.70 / $35.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.20 / $21.95 / $39.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.14 / $18.14 / $18.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $18.16 / $19.98