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Nebraska rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.16 / $1,372.16 / $1,372.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.30 / $1,372.16 / $1,372.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,849.83 / $2,506.98 / $4,706.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.21 / $581.70 / $596.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.53 / $668.69 / $3,061.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.61 / $619.91 / $2,587.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.58 / $2,155.17 / $3,125.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.13 / $668.69 / $3,061.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.41 / $517.98 / $939.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.89 / $2,964.80 / $3,587.44