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Nebraska rates for HCPCS 73564

Radiologic examination, knee; complete, 4 or more views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.45 / $22.91 / $87.10
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$56.23 / $154.88 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $52.48 / $169.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.23 / $21.88 / $52.48
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$45.71 / $87.10 / $251.19
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$43.65 / $43.65 / $43.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $54.95 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $38.90 / $91.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $15.85 / $24.55
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$52.48 / $61.66 / $154.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.84 / $44.67 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $85.11 / $89.13
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $20.89 / $21.38
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $64.57 / $67.61
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $89.13 / $141.25
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $22.91 / $31.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $66.07 / $109.65
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.30 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$165.96 / $338.84 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $69.18 / $295.12
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.18 / $20.89 / $32.36
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $48.98 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $97.72 / $162.18
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.38 / $23.99 / $37.15
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.07 / $74.13 / $123.03
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.66 / $61.66 / $61.66
Midlands
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$64.57 / $194.98 / $194.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $64.57 / $162.18
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $21.88 / $37.15
Midlands
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.69 / $44.67 / $123.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $39.81 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $60.26 / $100.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.48 / $17.38 / $27.54
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.51 / $44.67 / $74.13