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Nebraska rates for HCPCS 73725

Magnetic resonance angiography, lower extremity, with or without contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.77 / $441.95 / $744.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.86 / $356.22 / $2,290.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.77 / $81.77 / $508.16
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.09 / $245.09 / $1,737.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.76 / $636.82 / $676.60
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$149.52 / $159.81 / $169.25
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$446.25 / $477.00 / $507.33
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$471.66 / $471.66 / $471.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.41 / $761.10 / $1,004.53
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.84 / $186.84 / $241.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$332.57 / $569.75 / $802.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$795.52 / $795.52 / $795.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.24 / $729.41 / $3,018.44
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.93 / $173.35 / $850.86
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$408.87 / $554.89 / $2,546.60
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$276.89 / $284.95 / $471.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.21 / $816.64 / $1,067.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.33 / $305.76 / $564.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.19 / $702.31 / $900.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.93 / $170.78 / $218.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$327.08 / $554.89 / $681.45