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Nebraska rates for HCPCS 62304

Myelography Via Lumbar Inject Rs&I Lumbosacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.15 / $3,908.01 / $13,841.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.19 / $239.75 / $633.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.95 / $204.95 / $204.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.08 / $1,534.27 / $2,880.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.63 / $234.88 / $477.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.01 / $366.06 / $717.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.79 / $370.99 / $600.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.02 / $519.33 / $1,874.88
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.64 / $470.50 / $717.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.10 / $421.04 / $701.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,775.00 / $3,227.00 / $6,169.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.37 / $471.02 / $606.57