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Nebraska rates for HCPCS J2507

Injection, pegloticase, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,638.86 / $3,893.61 / $8,091.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,638.86 / $3,660.83 / $7,338.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,108.32 / $3,937.21 / $4,144.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,913.57 / $4,078.36 / $4,144.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,632.59 / $3,660.83 / $4,540.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,626.20 / $3,638.86 / $17,826.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,565.32 / $3,638.86 / $4,503.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,883.96 / $5,325.08 / $7,100.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,539.89 / $4,087.24 / $6,685.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,477.79 / $3,660.83 / $4,026.91