IV push, single drug at Children's Nebraska. CPT 96374.
What Children's Nebraska publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
—cash price (self-pay)
$329list price
$88.97–$370range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Medicaid | Community Plan - All Products | $93.89 |
| Nebraska Medicaid | Managed Medicaid Community Plan | $93.89 |
| Nebraska Medicaid | Total Care | $96.71 |
| Molina (Nebraska) | Managed Medicaid | $100 |
| Nebraska Medicaid | Managed Medicaid | $102 |
| Midlands Choice CHI | All Products | $230 |
| Blue Cross Blue Shield | Select Blue | $237 |
| UHC | TNMC - University Regents | $250 |
| Iowa Medicaid | Managed Medicaid | $258 |
| Wellpoint | Managed Medicaid | $258 |
| Blue Cross Blue Shield | BluePrint | $260 |
| Blue Cross Blue Shield | All Products | $263 |
| Midlands Choice Elevate | All Products | $263 |
| Iowa Medicaid | Total Care | $266 |
| Molina (Iowa) | Managed Medicaid | $267 |
| UHC | All Products | $276 |
| Avera Health Plan | All Products | $279 |
| Centivo | All Products | $279 |
| Wellmark | All Products | $279 |
| Aetna | All Products | $289 |
| Midlands Choice | All Products | $289 |
| Sanford Health Plan | All Products | $289 |
| Ambetter | All Products | $329 |
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