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Nebraska rates for HCPCS J9301

Obinutuzumab Inj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.45 / $113.77 / $174.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $86.90 / $11,630.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.25 / $90.25 / $90.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.84 / $85.70 / $85.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.42 / $96.23 / $96.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $100.61 / $115.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.61 / $113.77 / $153.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $83.72 / $117.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.03 / $112.82 / $147.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.69 / $108.91 / $123.78
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.43 / $110.60 / $166.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.05 / $79.00 / $94.01