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Nebraska rates for HCPCS J9317

Injection Sacituzumab Govitecan-Hziy 2.5 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $36.28 / $80.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $40.29 / $20,868.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.46 / $39.36 / $39.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.25 / $44.46 / $44.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $52.39 / $55.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.08 / $52.58 / $72.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.79 / $39.85 / $54.39
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.96 / $53.70 / $71.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.96 / $53.70 / $55.13
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.44 / $51.00 / $75.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $43.17