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Nebraska rates for HCPCS J9208

Injection, ifosfamide, 1 g

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $37.47 / $55.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $41.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.63 / $71.33 / $71.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.34 / $135.53 / $142.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $36.93 / $40.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.50 / $37.47 / $59.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.50 / $26.16 / $167.63
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.54 / $36.90 / $38.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.53 / $37.60 / $56.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.07 / $33.20 / $76.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.20 / $25.20 / $34.04