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Nebraska rates for HCPCS J9215

Injection, interferon, alfa-N3, (human leukocyte derived), 250,000 IU

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $57.54 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $29.51 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $9.77 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $24.55 / $30.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $36.31 / $54.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.11 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $22.91 / $23.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.12 / $38.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $60.26 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $35.48