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Nebraska rates for HCPCS Q0222

Injection, bebtelovimab, 175 mg

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,394.00 / $2,394.00 / $2,394.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,394.00 / $2,394.00 / $2,992.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,450.00 / $9,450.00 / $9,450.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,963.56 / $3,231.90 / $4,497.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.08 / $3,590.94 / $4,497.34