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Nebraska rates for HCPCS J9042

Brentuximab Vedotin Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.52 / $258.64 / $571.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.63 / $258.64 / $433.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.89 / $292.81 / $292.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.04 / $292.67 / $292.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $329.03 / $383.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.72 / $366.00 / $504.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.93 / $277.11 / $387.78
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.65 / $373.40 / $449.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.06 / $303.88 / $387.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.61 / $363.50 / $547.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.64 / $258.64 / $307.77