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Nebraska rates for HCPCS J7196

Injection, antithrombin recombinant, 50 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.60 / $324.07 / $372.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.88 / $134.88 / $226.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.31 / $143.31 / $143.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.60 / $256.27 / $632.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.50 / $140.50 / $168.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.75 / $168.75 / $168.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.75 / $168.75 / $168.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.47 / $140.50 / $154.55