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Nebraska rates for HCPCS J1950

Injection, leuprolide acetate (for depot suspension), per 3.75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.10 / $1,866.11 / $3,824.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,730.32 / $3,530.61 / $42,367.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.18 / $1,860.95 / $1,958.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,860.95 / $1,939.30 / $1,966.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.83 / $1,730.32 / $2,127.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,692.61 / $2,294.32 / $8,351.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.30 / $1,737.10 / $2,067.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.24 / $2,500.17 / $3,333.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.39 / $1,919.00 / $3,241.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.80 / $1,730.32 / $2,059.08