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Nebraska rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$49.88 / $50.20 / $50.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.31 / $197.34 / $1,350.93
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.97 / $50.20 / $529.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.47 / $147.13 / $1,035.28
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.51 / $442.51 / $442.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.75 / $381.31 / $390.85
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.93 / $98.26 / $100.72
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$264.81 / $283.06 / $290.13
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$289.98 / $289.98 / $289.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $455.45 / $595.35
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.69 / $115.06 / $148.35
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$197.58 / $334.18 / $447.00
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$234.66 / $234.66 / $234.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.66 / $422.75 / $1,374.92
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.89 / $106.42 / $330.16
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.77 / $316.86 / $1,044.76
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$160.76 / $165.44 / $289.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.02 / $480.13 / $643.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.14 / $418.36 / $541.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.16 / $106.42 / $135.75
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.99 / $313.12 / $406.23