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Nebraska rates for HCPCS J1448

Injection, trilaciclib, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $10.49 / $12.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $5,427.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.45 / $5.63 / $5.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.79 / $6.04 / $6.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.48 / $6.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.20 / $5.39 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.39 / $5.46 / $6.41
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.44 / $8.58 / $12.62
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $6.47 / $8.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $5.46 / $6.50