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Nebraska rates for HCPCS J9040

Injection, bleomycin sulfate, 15 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $38.97 / $47.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $22.15 / $70.53
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.08 / $44.63 / $44.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.78 / $60.92 / $60.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.38 / $118.30 / $121.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $32.10 / $39.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.90 / $34.49 / $72.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.90 / $23.79 / $78.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.87 / $32.20 / $39.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.87 / $32.33 / $69.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.18 / $29.60 / $61.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $50.81