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Nebraska rates for HCPCS J7170

Injection, emicizumab-kxwh, 0.5 mg

Facilitymedian $83 · 10th–90th $56–$2570%20%10th90th$83Professionalmedian $58 · 10th–90th $56–$950%50%10th90th$58$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$56.23 / $100.00 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $63.10 / $60,255.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $61.66 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $57.54 / $72.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $57.54 / $257.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $57.54 / $63.10
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $56.23 / $104.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $56.23 / $75.86