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Nebraska rates for HCPCS J1438

Injection, etanercept, 25 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$978.91 / $2,134.51 / $2,704.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.91 / $978.91 / $1,642.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.58 / $442.80 / $466.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.80 / $461.44 / $466.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $487.50 / $1,040.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.47 / $1,080.88 / $3,965.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.73 / $1,019.70 / $1,223.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.32 / $487.57 / $1,660.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.85 / $248.29 / $487.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.72 / $1,019.70 / $1,121.67