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Nebraska rates for HCPCS J7686

Treprostinil, inhalation solution, FDA-approved final product, noncompounded, administered through DME, unit dose form, 1.74 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.15 / $1,160.22 / $1,759.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.09 / $796.09 / $1,684.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.94 / $901.26 / $901.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.25 / $874.22 / $905.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$806.51 / $806.51 / $806.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.75 / $806.51 / $968.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.15 / $960.18 / $3,356.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.06 / $800.15 / $992.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.11 / $912.47 / $988.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.36 / $875.18 / $1,563.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.44 / $796.09 / $992.91