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Nebraska rates for HCPCS 70543

Mri Orbit Face & Neck W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$97.73 / $525.15 / $885.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.64 / $475.00 / $2,260.39
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.68 / $227.53 / $538.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$233.95 / $335.00 / $1,611.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.77 / $827.96 / $827.96
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.79 / $179.64 / $241.47
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.04 / $172.04 / $430.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.62 / $644.13 / $686.49
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$178.81 / $191.13 / $202.19
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$423.79 / $452.98 / $484.27
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$564.05 / $564.05 / $564.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.00 / $766.48 / $1,167.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.49 / $223.42 / $288.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$356.52 / $542.65 / $887.99
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$950.80 / $950.80 / $950.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.15 / $878.35 / $5,981.06
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.13 / $207.08 / $883.52
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$389.53 / $649.22 / $5,438.76
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$329.89 / $339.50 / $564.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.63 / $831.92 / $1,436.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.92 / $840.89 / $1,265.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.13 / $201.20 / $261.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$311.63 / $599.75 / $871.00