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Nebraska rates for HCPCS J9019

Erwinaze Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.96 / $843.77 / $1,069.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.96 / $391.80 / $649.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.15 / $483.71 / $483.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.51 / $483.70 / $483.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.15 / $435.34 / $622.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.96 / $580.44 / $735.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $448.71 / $1,838.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $512.72 / $833.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.79 / $571.22 / $1,057.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.90 / $614.90 / $614.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.08 / $403.08 / $483.70