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Nebraska rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,884.03 / $6,309.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $954.99 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $489.78 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,548.82 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $2,089.30 / $2,951.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $891.25 / $4,466.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,288.25 / $5,248.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,862.09 / $2,884.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,187.76 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $501.19 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,513.56 / $2,089.30