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Nebraska rates for HCPCS J9300

Gemtuzumab ozogamicin inj

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,871.00 / $3,043.26 / $3,646.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,712.95 / $13,712.95 / $13,712.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,762.00 / $7,866.90 / $7,866.90
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,828.95 / $3,394.74 / $3,762.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,828.95 / $3,394.74 / $4,113.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,582.20 / $6,582.20 / $6,582.20