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Nebraska rates for HCPCS J1743

Injection, idursulfase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.46 / $558.55 / $1,234.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.46 / $558.55 / $1,422.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.17 / $600.62 / $632.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.62 / $625.90 / $632.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.00 / $548.00 / $548.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.83 / $558.46 / $691.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.50 / $558.55 / $2,714.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.57 / $558.55 / $637.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.09 / $813.33 / $1,140.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.64 / $651.99 / $1,384.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.54 / $558.46 / $645.98