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Nebraska rates for HCPCS Q2009

Fosphenytoin Inj Pe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $5.71 / $6.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $2.46 / $4.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.52 / $1.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.52 / $1.58 / $1.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.88 / $2.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $4.98 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.47 / $2.57 / $3.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.89 / $9.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $3.65 / $6.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.14 / $8.14 / $12.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $2.57 / $2.83