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Nebraska rates for HCPCS 74290

Cholecystography Oral Contrst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.70 / $81.34 / $81.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.68 / $81.34 / $477.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.33 / $392.13 / $736.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.15 / $156.22 / $160.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.98 / $460.98 / $460.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $177.91 / $245.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.05 / $137.47 / $221.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.86 / $148.94 / $572.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.96 / $174.03 / $228.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $160.18 / $205.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.34 / $330.86 / $456.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.37 / $153.38 / $187.36