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Nebraska rates for HCPCS J1602

Injection, golimumab, 1 mg, for intravenous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $19.30 / $24.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.04 / $49.78 / $9,690.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.38 / $12.50 / $18.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $12.36 / $12.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $11.04 / $13.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $41.18 / $95.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.77 / $11.03 / $12.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.92 / $19.98 / $30.48
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.92 / $23.99 / $51.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $11.04 / $12.14