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Nebraska rates for HCPCS J9340

Thiotepa 15 Mg (Special Coverage Instructions Apply. See Mcm: 2049)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.68 / $264.66 / $317.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,376.94 / $2,376.94 / $2,376.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.75 / $263.88 / $2,184.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.88 / $341.50 / $489.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.88 / $332.63 / $554.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.50 / $286.70 / $499.90