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Nebraska rates for HCPCS 75805

Lymphangiography, pelvic/abdominal, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,729.28 / $2,729.28 / $2,729.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,530.16 / $2,729.28 / $2,729.28
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
$558.24 / $596.70 / $611.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.40 / $685.94 / $6,068.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.26 / $635.48 / $5,185.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.36 / $2,130.55 / $5,789.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.40 / $685.94 / $6,068.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.84 / $509.09 / $972.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,453.94 / $2,890.28 / $7,309.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.69 / $2,509.13 / $5,789.11