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Nebraska rates for HCPCS Q4174

Palingen Or Promatrx 0.36 Mg Per 0.25 Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.20 / $1,195.20 / $1,195.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.20 / $1,195.20 / $1,269.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.27 / $329.74 / $329.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.25 / $329.74 / $329.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.90 / $1,269.90 / $1,269.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.63 / $370.70 / $1,269.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.20 / $1,792.80 / $2,270.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.00 / $1,245.00 / $1,441.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.70 / $370.70 / $1,603.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.70 / $370.70 / $1,603.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.75 / $1,245.00 / $1,441.50