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Nebraska rates for HCPCS J1427

Injection, viltolarsen, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.14 / $118.05 / $149.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.14 / $54.14 / $90.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $57.53 / $70.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.68 / $102.87 / $293.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.40 / $56.40 / $67.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.73 / $102.95 / $123.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $67.73 / $67.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.58 / $56.40 / $62.04