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Nebraska rates for HCPCS J7643

Glycopyrrolate Comp Unit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.71 / $1.71 / $1.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.76 / $1.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.18 / $1.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.12 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.76 / $0.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $0.89 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.89 / $0.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $5.19 / $5.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $5.54 / $5.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.89 / $0.89