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Nebraska rates for HCPCS J1628

Injection, guselkumab, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.86 / $75.97 / $167.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.86 / $75.97 / $26,800.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.51 / $81.70 / $86.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.51 / $83.90 / $86.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.78 / $75.97 / $89.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.86 / $142.22 / $624.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.43 / $74.86 / $82.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.51 / $121.31 / $172.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.51 / $89.84 / $158.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.97 / $75.97 / $75.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.17 / $75.97 / $83.57