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Nebraska rates for HCPCS J1951

Injection, leuprolide acetate for depot suspension (Fensolvi), 0.25 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.43 / $140.99 / $311.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.43 / $140.99 / $235.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.72 / $151.63 / $159.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.03 / $157.38 / $159.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.80 / $140.99 / $171.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.82 / $140.43 / $671.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.26 / $140.43 / $167.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.11 / $217.50 / $320.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.13 / $168.51 / $204.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.99 / $140.99 / $167.78