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Nebraska rates for HCPCS J9210

Injection, emapalumab-lzsg, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.64 / $384.85 / $850.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.64 / $384.85 / $1,156.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.89 / $417.52 / $72,824.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.63 / $463.36 / $471.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $388.69 / $485.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.66 / $381.64 / $2,207.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.50 / $381.64 / $454.15
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.80 / $619.84 / $884.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.80 / $564.85 / $1,026.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.85 / $384.85 / $457.97