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Nebraska rates for HCPCS J2358

Injection, olanzapine, long-acting, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $2.95 / $6.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $7.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $3.30 / $3.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $3.27 / $3.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.96 / $3.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $5.55 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.92 / $2.92 / $3.55
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.50 / $4.38 / $6.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $3.50 / $7.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.92 / $3.55