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Nebraska rates for HCPCS J7307

Etonogestrel (contraceptive) implant system, including implant and supplies

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $1,563.34 / $3,221.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.00 / $1,196.00 / $1,579.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.75 / $653.75 / $653.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.93 / $1,238.93 / $1,238.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.63 / $1,238.93 / $1,518.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.63 / $1,457.56 / $5,203.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.85 / $1,214.63 / $1,457.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1,302.85 / $1,312.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.85 / $1,312.05 / $1,312.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.85 / $1,214.63 / $1,336.09