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Nebraska rates for HCPCS J7308

Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.87 / $571.11 / $866.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.09 / $396.97 / $918.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.66 / $443.89 / $443.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.31 / $430.56 / $445.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.08 / $401.08 / $401.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.08 / $401.85 / $502.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.32 / $413.57 / $1,973.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.55 / $393.87 / $433.26
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.78 / $647.33 / $928.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.79 / $433.78 / $1,000.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.84 / $392.09 / $415.24