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Nebraska rates for HCPCS M0241

Intravenous infusion or subcutaneous injection, casirivimab and imdevimab, includes infusion or injection, and post administration monitoring in the home or residence. This includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency, subsequent repeat doses

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $750.00 / $750.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $750.00 / $937.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,104.64 / $4,104.64 / $4,104.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.75 / $1,125.18 / $1,330.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.75 / $1,177.71 / $1,330.61