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Nebraska rates for HCPCS J9280

Injection, mitomycin, 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $39.11 / $165.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.55 / $130.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $25.60 / $25.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.77 / $22.08 / $22.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.71 / $24.96 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.00 / $102.00 / $102.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $39.43 / $81.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.44 / $45.37 / $215.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.60 / $30.46 / $199.81
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.72 / $59.46 / $131.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.72 / $60.98 / $182.18
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.81 / $39.60 / $53.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $20.35 / $24.22