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Nebraska rates for HCPCS J9130

Dacarbazine 100 Mg Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $6.63 / $8.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.79 / $57.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $7.91 / $7.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $9.76 / $9.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $19.51 / $21.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $5.72 / $6.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $6.13 / $9.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $4.55 / $12.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.73 / $6.75
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.89 / $8.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $5.50 / $8.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.45 / $3.45 / $6.37