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Nebraska rates for HCPCS 74022

Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.78 / $48.53 / $131.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.64 / $60.71 / $267.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.74 / $33.19 / $70.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.65 / $36.81 / $69.02
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.74 / $21.17 / $29.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.18 / $92.12 / $94.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.59 / $28.42 / $30.51
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.39 / $63.70 / $65.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.88 / $83.88 / $83.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $106.74 / $146.41
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.05 / $33.65 / $43.63
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.11 / $73.13 / $102.78
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.25 / $88.16 / $321.19
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.71 / $30.40 / $128.79
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.54 / $57.76 / $254.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.01 / $49.41 / $83.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $99.14 / $124.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $36.94 / $91.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.25 / $88.16 / $110.90
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.71 / $30.04 / $38.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$35.10 / $49.26 / $72.66