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Nebraska rates for HCPCS J3240

Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.23 / $3,698.17 / $4,677.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $3,341.80 / $4,559.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.00 / $2,181.19 / $2,296.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,462.09 / $2,565.76 / $2,595.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.00 / $1,968.00 / $1,968.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,116.32 / $2,117.92 / $2,647.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,113.23 / $3,820.13 / $10,393.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,901.92 / $2,113.23 / $2,324.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.54 / $3,101.87 / $4,244.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,718.17 / $2,494.44 / $4,336.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,010.50 / $2,116.32 / $2,327.94