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Nebraska rates for HCPCS J0490

Injection, belimumab, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.01 / $81.20 / $123.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.01 / $59.37 / $120.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.61 / $60.31 / $63.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.22 / $62.77 / $63.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.00 / $54.00 / $54.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.03 / $56.07 / $70.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.01 / $86.44 / $274.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.97 / $56.01 / $63.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.99 / $82.37 / $109.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.38 / $63.22 / $116.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.27 / $56.07 / $61.68