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Nebraska rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $176.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $486.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.93 / $179.91 / $179.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.12 / $174.50 / $179.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.91 / $152.91 / $152.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.58 / $159.75 / $189.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $169.72 / $654.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $229.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.91 / $178.52 / $192.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.60 / $170.67 / $356.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $229.39