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Nebraska rates for HCPCS J9302

Injection Ofatumumab 10 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $123.32 / $160.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.92 / $58.64 / $97.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.98 / $69.39 / $69.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.51 / $78.43 / $78.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.54 / $240.66 / $300.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.92 / $86.88 / $110.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $67.17 / $2,649.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.20 / $240.66 / $283.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.09 / $162.21 / $283.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.00 / $109.00 / $282.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.34 / $60.34 / $71.80