IV push, single drug at Great Plains Health. CPT 96374.
What Great Plains Health publishes for this service, straight from its standard-charges file.
Outpatient / ER
$55.00cash price (self-pay)
$458list price
$38.00–$1,056range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Total Care | Medicare Advantage | $227 |
| Molina | Medicare Advantage | $248 |
| Midwest Network Alliance | Owner | $385 |
| Midwest Network Alliance | Non-Owner | $399 |
| Blue Cross and Blue Shield of Nebraska | Commercial | $402 |
| Medica | Commercial | $421 |
| Midlands Choice | Commercial | $425 |
| Oscar Health | Midlands Premier | $426 |
| Coventry | HMO | $430 |
| GEHA | Commercial | $430 |
| Coventry | PPO | $435 |
| Mutual of Omaha | Commercial | $435 |
| United Health Care | Commercial | $435 |
| Ambetter | Commercial | $616 |
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