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Nebraska rates for HCPCS J9293

Injection, mitoxantrone HCl, per 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $45.90 / $75.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $49.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.44 / $67.58 / $67.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.38 / $135.15 / $167.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $41.54 / $93.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $47.98 / $398.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.69 / $30.82 / $363.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.22 / $49.42 / $97.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.85 / $51.69 / $91.23
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.94 / $41.90 / $95.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.88 / $23.88 / $28.42