go back

Nebraska rates for HCPCS J7505

Muromonab-CD3, parenteral, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.71 / $2,515.59 / $2,892.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.71 / $883.52 / $1,204.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,112.48 / $1,308.80 / $1,308.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.34 / $1,308.80 / $1,308.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.38 / $1,499.53 / $2,246.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.71 / $1,283.89 / $1,578.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.77 / $1,308.77 / $5,826.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.20 / $1,117.77 / $2,063.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.20 / $1,461.68 / $2,246.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.50 / $1,221.50 / $2,719.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.33 / $1,308.77 / $1,308.77