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Nebraska rates for HCPCS J7195

Injection, Factor IX (antihemophilic factor, recombinant) per IU, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $1.88 / $4.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.88 / $4.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.57 / $1.99 / $2.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.06 / $2.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.88 / $2.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $1.88 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $1.88 / $2.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $2.76 / $3.68
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.64 / $2.12 / $3.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.85 / $1.85 / $1.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $1.85 / $2.04