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Nebraska rates for HCPCS 0042T

Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time

Insurance Carrier
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $120.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.83 / $245.47 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $602.56 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $331.13 / $691.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $331.13 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $389.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $831.76