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Nebraska rates for HCPCS J7203

Injection Factor IX, (antihemophilic factor, recombinant), glycoPEGylated, (Rebinyn), 1 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.58 / $8.57 / $9.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.46 / $10.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $4.80 / $5.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.00 / $5.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $4.48 / $4.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.43 / $4.46 / $5.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.41 / $4.58 / $85.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $4.58 / $5.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $6.65 / $9.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.49 / $10.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.46 / $6.69