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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
$134.90 / $269.15 / $389.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $144.54 / $144.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $257.04 / $630.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $141.25 / $169.82