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Nebraska rates for HCPCS J1301

Injection, edaravone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $40.11 / $46.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.99 / $20.99 / $52.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $22.58 / $23.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $22.57 / $23.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.78 / $20.99 / $25.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.84 / $21.82 / $102.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.84 / $18.84 / $20.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.49 / $32.52 / $45.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.60 / $24.97 / $49.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.94 / $20.99 / $20.99