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Nebraska rates for HCPCS J0517

Injection, benralizumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $243.79 / $363.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $180.06 / $445.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.75 / $186.33 / $186.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.00 / $184.47 / $190.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.59 / $166.39 / $207.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $169.50 / $850.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.30 / $168.13 / $184.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.96 / $248.84 / $355.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.99 / $201.76 / $434.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.36 / $164.59 / $181.05