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Nebraska rates for HCPCS 74740

Hysterosalpingography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.39 / $54.95 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $123.03 / $380.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $67.61 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $165.96 / $177.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $173.78 / $269.15
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
$85.11 / $134.90 / $630.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $194.98 / $309.03
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.48 / $39.81 / $61.66
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $125.89 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $123.03 / $199.53