go back

Nebraska rates for HCPCS J1300

Injection, eculizumab, 10 mg

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.38 / $228.38 / $285.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,152.40 / $1,152.40 / $1,152.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.00 / $256.00 / $256.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.99 / $323.66 / $473.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.36 / $276.58 / $587.72