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Nebraska rates for HCPCS J1305

Injection Evinacumab-Dgnb 5mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.75 / $372.43 / $428.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.76 / $193.76 / $318.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.51 / $208.38 / $219.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.08 / $212.77 / $219.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.83 / $193.76 / $237.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.14 / $189.75 / $931.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.31 / $189.75 / $219.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.57 / $295.58 / $437.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.87 / $223.57 / $279.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.07 / $193.76 / $223.51