go back

Nebraska rates for HCPCS J1453

Injection, fosaprepitant, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $478.63 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $41.69 / $407.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.96 / $22.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.11 / $0.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.13 / $0.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.13 / $0.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.19 / $4.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $309.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.28 / $2.40
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $724.44 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.14