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Nebraska rates for HCPCS J9600

Injection, porfimer sodium, 75 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,390.08 / $53,795.00 / $61,863.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,390.08 / $22,390.08 / $27,987.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,654.81 / $19,143.46 / $61,081.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,186.29 / $19,143.45 / $19,143.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,063.15 / $3,240.41 / $23,789.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.67 / $29,275.03 / $42,541.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $24,722.38 / $103,405.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,639.87 / $3,063.15 / $44,514.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,639.87 / $3,299.84 / $4,745.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,094.00 / $3,094.00 / $3,094.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,323.00 / $23,323.00 / $27,987.60