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Nebraska rates for HCPCS J9202

Goserelin Acetate Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.15 / $1,410.19 / $2,831.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $883.76 / $1,221.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.15 / $734.15 / $1,519.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,764.96 / $2,076.42 / $2,076.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,945.19 / $4,152.84 / $4,155.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $934.38 / $1,085.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.01 / $1,064.52 / $1,394.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.14 / $784.97 / $1,292.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.21 / $1,054.58 / $1,265.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.30 / $846.17 / $1,101.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.00 / $909.68 / $1,586.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.67 / $733.67 / $873.07