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Nebraska rates for HCPCS 74740

Hysterosalpingography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.39 / $58.36 / $157.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.63 / $158.52 / $432.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.90 / $196.90 / $196.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.05 / $172.41 / $176.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$101.10 / $101.10 / $101.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.04 / $192.85 / $265.68
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
$100.67 / $163.58 / $635.08
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.58 / $60.28 / $101.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.00 / $178.82 / $240.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.67 / $163.58 / $205.78