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Nebraska rates for HCPCS J9261

Injection, nelarabine, 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $91.90 / $176.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $106.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.84 / $90.41 / $90.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.15 / $85.89 / $90.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $94.78 / $158.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.38 / $102.72 / $192.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.18 / $70.33 / $152.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.81 / $112.13 / $214.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.07 / $158.44 / $318.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.23 / $93.44 / $278.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $79.86 / $119.79