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Nebraska rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $6.33 / $9.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.49 / $1,756.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $12.59 / $12.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.43 / $24.66 / $25.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $6.40 / $6.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.36 / $6.33 / $8.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $4.84 / $1,033.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $6.54 / $8.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.85 / $7.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.20 / $5.90 / $9.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $5.30