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Nebraska rates for HCPCS M0247

Intravenous infusion, sotrovimab, includes infusion and post administration monitoring

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $450.00 / $562.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,462.08 / $2,462.08 / $2,462.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.45 / $674.91 / $798.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.45 / $706.52 / $798.24