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Nebraska rates for HCPCS J9118

Injection, calaspargase pegol-mknl, 10 units

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.91 / $118.77 / $181.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $114.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.68 / $89.04 / $89.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.43 / $100.45 / $100.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $112.24 / $117.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.72 / $122.87 / $163.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.53 / $85.19 / $122.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.83 / $114.79 / $122.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.83 / $114.79 / $122.86
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.03 / $115.10 / $167.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.08 / $82.08 / $97.68