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Nebraska rates for HCPCS J2426

Injection, paliperidone palmitate extended release (Invega Sustenna), 1 mg

Facilitymedian $17 · 10th–90th $15–$300%20%40%10th90th$17Professionalmedian $15 · 10th–90th $15–$400%50%90th$15$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $23.44 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.85 / $39.81
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.60 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.49 / $19.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.14 / $16.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $15.14 / $29.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $15.14 / $18.62