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Nebraska rates for HCPCS 0623T

Auto Quan&Charac Coronary Atherosclerotic Plaque

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.58 / $159.58 / $159.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.97 / $148.97 / $148.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.33 / $676.72 / $1,270.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.55 / $2,188.34 / $2,303.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.97 / $247.89 / $5,622.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.75 / $316.54 / $6,299.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.07 / $316.00 / $5,450.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.07 / $271.33 / $5,450.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,984.69 / $2,984.69 / $2,984.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.75 / $326.55 / $392.03