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Nebraska rates for HCPCS 70553

Mri Brain Brain Stem W/O W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.37 / $340.25 / $945.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.41 / $412.32 / $1,972.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.67 / $225.07 / $513.24
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$155.71 / $155.71 / $1,056.52
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$207.04 / $335.00 / $1,464.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.79 / $247.34 / $709.03
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.58 / $188.75 / $242.86
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$153.05 / $153.05 / $382.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.98 / $606.03 / $644.62
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$190.59 / $203.72 / $216.05
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$376.38 / $402.31 / $428.56
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$601.20 / $601.20 / $601.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.42 / $722.10 / $1,099.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$137.34 / $238.76 / $307.37
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$280.08 / $478.89 / $864.86
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,013.76 / $1,013.76 / $1,013.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.21 / $830.11 / $6,146.58
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.58 / $215.79 / $320.47
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$344.76 / $574.60 / $5,551.18
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$360.60 / $371.11 / $601.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.02 / $784.34 / $1,459.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.21 / $298.89 / $533.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.21 / $751.23 / $1,054.30
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$133.96 / $219.18 / $279.08
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.80 / $506.70 / $739.53