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Nebraska rates for HCPCS J1746

Injection, ibalizumab-uiyk, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.39 / $79.39 / $175.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $79.39 / $166.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.30 / $85.24 / $89.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.23 / $88.82 / $89.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.00 / $73.00 / $73.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $79.26 / $98.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.62 / $79.39 / $384.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.95 / $79.39 / $87.33
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.93 / $118.50 / $156.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.60 / $95.26 / $148.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.20 / $79.20 / $79.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.30 / $79.26 / $87.19