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Nebraska rates for HCPCS J0202

Injection, alemtuzumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.89 / $4,670.49 / $5,371.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $4,095.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,338.25 / $2,750.88 / $2,750.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,613.34 / $2,750.88 / $2,763.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,818.60 / $3,759.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,324.34 / $3,661.05 / $4,881.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,440.69 / $2,709.18 / $3,661.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,188.39 / $2,929.79 / $4,881.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.39 / $2,928.84 / $3,759.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,842.97 / $3,432.50 / $4,992.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,429.89 / $2,429.89 / $2,891.57