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Nebraska rates for HCPCS 75574

Cta Hrt Cornry Art/Bypass Grfts Contrst 3d Post

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$108.63 / $580.15 / $977.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.57 / $335.52 / $1,723.34
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.63 / $252.12 / $563.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.94 / $213.12 / $1,053.10
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.51 / $192.44 / $253.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.81 / $537.46 / $564.22
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$198.97 / $212.68 / $222.21
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$303.85 / $324.77 / $339.36
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$627.60 / $627.60 / $627.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.11 / $676.71 / $960.90
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.26 / $248.57 / $320.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$278.14 / $408.93 / $639.95
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,056.00 / $1,056.00 / $1,056.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.70 / $728.66 / $2,091.94
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.36 / $228.12 / $711.82
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.25 / $487.80 / $1,773.11
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$355.75 / $366.11 / $627.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.66 / $700.24 / $903.15
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.88 / $345.31 / $602.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.95 / $728.66 / $820.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$138.88 / $223.01 / $281.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.07 / $487.80 / $623.77