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Nebraska rates for HCPCS 77089

Tbs Dxa/Other Img Calculation W/I&R Fx Risk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $40.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.09 / $37.36 / $77.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.21 / $30.21 / $30.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.27 / $238.90 / $448.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.00 / $73.76 / $75.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.62 / $217.62 / $217.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.66 / $85.40 / $116.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $62.18 / $181.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.15 / $76.70 / $258.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.54 / $85.40 / $135.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.72 / $88.38 / $135.87
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $54.85 / $73.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.95 / $74.88 / $103.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.37 / $78.48 / $96.50