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Nebraska rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $933.25 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $107.15 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $436.52 / $851.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $194.98 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $234.42 / $501.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $173.78 / $2,511.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $660.69 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $257.04
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $112.20 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $109.65