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Nebraska rates for HCPCS J9155

Injection, degarelix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $6.61 / $3,467.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $4.47 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $12.02 / $12.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $24.55 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $5.25 / $6.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.37 / $6.31 / $8.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.79 / $1,023.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.61 / $6.61
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $6.61 / $10.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $4.47 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.47 / $5.25