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Nebraska rates for HCPCS 76497

Unlisted Computed Tomography Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.95 / $443.74 / $1,484.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.42 / $102.95 / $106.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.69 / $454.95 / $854.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.44 / $200.36 / $205.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.20 / $601.20 / $601.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.96 / $233.85 / $395.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.95 / $173.99 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.69 / $661.49 / $661.49
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.79 / $232.69 / $309.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.47 / $232.69 / $285.50