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Nebraska rates for HCPCS J0223

Givlaari SC SOLN 189 MG/ML

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.19 / $117.36 / $259.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.19 / $117.36 / $280.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.93 / $132.86 / $72,824.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.04 / $131.34 / $132.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.36 / $118.69 / $148.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.08 / $117.19 / $582.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.47 / $117.19 / $132.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.56 / $184.93 / $271.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.88 / $140.63 / $278.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.49 / $117.36 / $117.36