go back

Nebraska rates for HCPCS J9020

Injection Asparaginase Not Otherwise Specified 10 000 Units (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.88 / $140.49 / $161.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.88 / $51.99 / $71.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.13 / $73.09 / $73.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.43 / $73.09 / $73.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.13 / $72.18 / $84.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.88 / $73.09 / $92.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $73.09 / $342.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.33 / $71.16 / $81.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.33 / $76.67 / $106.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.90 / $71.90 / $151.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.09 / $73.09 / $86.98