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Nebraska rates for HCPCS J1823

Injection, inebilizumab-cdon, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.43 / $952.50 / $1,095.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.55 / $495.55 / $829.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.76 / $532.96 / $561.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.75 / $554.14 / $561.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.54 / $495.55 / $616.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.27 / $494.43 / $2,422.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.40 / $494.43 / $543.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.28 / $779.88 / $1,138.33
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.90 / $593.32 / $726.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.00 / $495.55 / $545.11