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Nebraska rates for HCPCS J9268

Injection, pentostatin, 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $3,981.07 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $4,265.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $2,818.38 / $2,951.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,019.95 / $4,073.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $3,019.95 / $4,786.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,818.38 / $12,022.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $4,073.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,981.07 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,511.89 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,691.53 / $3,162.28