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Nebraska rates for HCPCS J7501

Azathioprine, parenteral, 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.00 / $576.63 / $663.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $240.00 / $402.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.11 / $246.01 / $246.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.41 / $238.63 / $246.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.00 / $255.00 / $255.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.53 / $223.50 / $279.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.93 / $240.00 / $1,139.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $250.00 / $275.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.53 / $117.90 / $467.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.83 / $117.90 / $283.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $250.00 / $275.00