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Nebraska rates for HCPCS J1632

Injection, brexanolone, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.52 / $155.94 / $197.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.52 / $71.52 / $120.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.98 / $75.98 / $75.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.40 / $135.88 / $384.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.50 / $74.50 / $89.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.48 / $126.18 / $151.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.48 / $89.48 / $89.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.78 / $74.50 / $111.75