go back

Nebraska rates for HCPCS J9359

Injection, loncastuximab tesirine-lpyl, 0.075 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.74 / $216.90 / $479.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $303.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.02 / $235.32 / $235.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.52 / $265.81 / $266.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $308.76 / $326.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.63 / $314.27 / $433.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.00 / $236.00 / $325.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.39 / $318.18 / $421.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.39 / $318.18 / $326.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.78 / $304.80 / $451.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.90 / $216.90 / $258.11