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Nebraska rates for HCPCS J7194

Factor IX complex, per IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $3.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $1.70 / $3.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.44 / $1.82 / $1.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.89 / $1.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.70 / $2.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.70 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.70 / $1.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $2.49 / $3.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.90 / $3.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.70 / $1.82