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Nebraska rates for HCPCS J9230

Injection, mechlorethamine HCl, (nitrogen mustard), 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.32 / $648.30 / $821.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.32 / $301.04 / $371.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.58 / $364.22 / $364.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.00 / $364.22 / $364.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.55 / $190.20 / $409.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.18 / $371.65 / $564.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $344.77 / $1,255.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.16 / $176.55 / $332.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.16 / $203.25 / $439.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.30 / $178.30 / $378.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.70 / $309.70 / $368.55