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Nebraska rates for HCPCS J1305

Injection, evinacumab-dgnb, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $354.81 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $501.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $223.87 / $223.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $218.78 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $199.53 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $218.78 / $933.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $190.55 / $218.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $288.40 / $288.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $194.98 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $223.87