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Nebraska rates for HCPCS 77075

Radiologic Examination Osseous Survey Compl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.19 / $132.32 / $223.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.43 / $102.85 / $531.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.03 / $56.86 / $63.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.94 / $78.43 / $162.10
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.28 / $49.72 / $49.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.72 / $183.53 / $188.13
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.25 / $49.43 / $51.75
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.59 / $134.09 / $137.44
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$145.86 / $145.86 / $145.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.72 / $211.35 / $290.89
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.47 / $57.82 / $74.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.22 / $154.61 / $216.23
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$118.08 / $118.08 / $118.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.57 / $177.25 / $642.13
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.45 / $52.73 / $167.46
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.12 / $125.76 / $474.67
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.46 / $85.89 / $145.86
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $205.33 / $249.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.57 / $179.05 / $222.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.45 / $52.11 / $66.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.12 / $125.76 / $151.52