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Nebraska rates for HCPCS J9331

Injection Sirolimus Protein-Bound Particles 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $162.55 / $186.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $124.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $91.75 / $91.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.48 / $103.67 / $103.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $168.30 / $181.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.53 / $126.80 / $169.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.53 / $95.74 / $139.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.79 / $176.45 / $229.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.79 / $152.68 / $181.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.95 / $118.70 / $177.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.57 / $84.57 / $100.64