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Nebraska rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.24 / $83.47 / $226.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.24 / $87.92 / $378.75
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.67 / $57.49 / $144.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$26.62 / $61.01 / $444.97
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.01 / $55.88 / $285.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.61 / $100.61 / $127.68
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.02 / $51.79 / $60.96
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.70 / $56.70 / $56.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.18 / $106.02 / $108.67
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.11 / $50.88 / $52.34
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.07 / $54.59 / $56.52
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$150.12 / $150.12 / $150.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.80 / $124.87 / $198.38
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.93 / $60.22 / $76.59
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.57 / $67.72 / $135.46
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.62 / $122.62 / $122.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.02 / $117.00 / $447.95
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.04 / $49.31 / $265.83
Medica
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$56.48 / $56.48 / $56.48
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.24 / $69.09 / $398.99
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.28 / $86.74 / $150.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.43 / $149.00 / $198.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.46 / $52.87 / $129.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.02 / $117.39 / $180.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.78 / $54.25 / $68.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.24 / $69.09 / $111.90