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Nebraska rates for HCPCS 0694T

3d Volumetric Img&Rcnstj Brst/Ax Lymph Node Tiss

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.65 / $38.02 / $38.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.01 / $543.47 / $1,020.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.04 / $77.29 / $80.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.42 / $99.94 / $222.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $62.73 / $195.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $78.68 / $262.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.85 / $80.42 / $222.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.85 / $80.42 / $222.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $78.68 / $100.88