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Nebraska rates for HCPCS Q2028

Injection Sculptra 0.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.50 / $1.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $1.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,413.06 / $3,148.43 / $6,139.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.75 / $0.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $2.31 / $2.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.64 / $0.67 / $0.67