IV push, single drug at OrthoNebraska. CPT 96374.
What OrthoNebraska publishes for this service, straight from its standard-charges file, last updated December 27, 2025.
Outpatient / ER
—cash price (self-pay)
$447list price
$0.01–$458range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid | $12.48 |
| BCBS Network Blue | Bluecard | $67.35 |
| Total Care | Medicaid | $67.35 |
| United Healthcare | Medicaid | $67.35 |
| United Healthcare | Americhoice | $67.35 |
| Midlands Choice | Medica | $127 |
| BCBS Network Blue | Medicare Advantage | $205 |
| Humana | Medicare Advantage | $205 |
| United Healthcare | Medicare Advantage | $205 |
| United Healthcare | Aarp Medicare Supplement | $205 |
| Paramount Group - Wellcare | Medicare Advantage | $207 |
| Immanuel Pathways | All Products | $209 |
| Aetna | All Products | $224 |
| Optum Health | All Products | $224 |
| Midlands Choice | Cigna Nfm | $250 |
| Midwest Network | All Products | $250 |
| Allied | National Global | $267 |
| Allied | Insurance IL | $267 |
| BCBS Of Nebraska Select | All Products | $280 |
| BCBS Wellmark Blue | All Products | $282 |
| Self Pay | Self Pay | $291 |
| Ambetter | Commercial-Exchange | $308 |
| Carrum Health | Voluntary Model | $308 |
| Carrum Health | Vflex | $308 |
| Partners Health Alliance | Medicare Advantage | $308 |
| Humana | Choicecare | $358 |
| Multiplan | Pho | $402 |
| United Healthcare | Exchange Plans | $425 |
| Paramount Group - Ambetter | Medicare Advantage | $458 |
Inpatient
—cash price (self-pay)
$447list price
$224–$425range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Optum Health | All Products | $291 |
| BCBS Wellmark Blue | All Products | $299 |
| Humana | Choicecare | $380 |
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