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Nebraska rates for HCPCS 70552

Mri Brain Brain Stem W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.34 / $272.60 / $738.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.94 / $475.00 / $1,789.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.34 / $140.00 / $322.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$131.97 / $131.97 / $894.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$182.60 / $198.63 / $1,284.99
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$160.71 / $160.71 / $189.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.94 / $514.08 / $546.36
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$148.55 / $158.78 / $168.37
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$332.39 / $355.30 / $377.98
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$468.60 / $468.60 / $468.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.15 / $613.35 / $932.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.28 / $185.85 / $239.50
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.87 / $423.43 / $694.75
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$789.76 / $789.76 / $789.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.63 / $661.77 / $3,445.62
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.45 / $172.44 / $672.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.44 / $504.07 / $2,996.90
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$271.58 / $279.49 / $468.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.87 / $656.40 / $1,069.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.12 / $253.15 / $450.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.10 / $634.52 / $737.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$102.45 / $170.81 / $216.98
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.95 / $401.59 / $559.32