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Nebraska rates for HCPCS 73720

Mri Lower Extrem Oth/Thn Jt W/O & W/Contr Matr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.05 / $328.31 / $889.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.09 / $330.40 / $2,264.53
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.99 / $239.93 / $527.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$232.41 / $252.75 / $1,658.95
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.93 / $183.03 / $228.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.75 / $641.08 / $683.92
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$178.81 / $191.13 / $202.84
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$420.92 / $449.92 / $481.08
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
$459.89 / $764.64 / $1,160.43
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.87 / $224.14 / $289.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$365.82 / $540.51 / $902.45
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
$547.14 / $885.99 / $5,978.92
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$123.51 / $207.74 / $733.09
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$390.52 / $650.87 / $5,438.76
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$326.94 / $336.47 / $564.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.54 / $912.11 / $1,437.58
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $315.22 / $560.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.71 / $802.47 / $1,265.70
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.29 / $207.74 / $261.02
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$390.52 / $512.46 / $762.48