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Nebraska rates for HCPCS J0567

Injection, cerliponase alfa, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.54 / $242.52 / $310.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $112.54 / $186.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.40 / $119.58 / $145.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.43 / $211.32 / $498.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.85 / $117.24 / $137.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.51 / $124.51 / $124.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.51 / $124.51 / $124.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.38 / $117.24 / $128.96