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Nebraska rates for HCPCS 77290

Ther Rad Simulaj-Aided Field Setting Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$79.92 / $389.06 / $655.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.03 / $501.43 / $2,844.13
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.87 / $179.96 / $399.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$342.68 / $342.68 / $2,446.57
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.37 / $894.37 / $894.37
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$149.29 / $158.47 / $186.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.30 / $824.44 / $845.04
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$145.33 / $155.34 / $159.22
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$625.98 / $669.10 / $685.83
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$458.40 / $458.40 / $458.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.60 / $1,038.05 / $1,304.15
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$129.00 / $190.59 / $238.53
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$640.78 / $842.47 / $1,065.61
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,357.70 / $1,357.70 / $1,357.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.13 / $885.26 / $4,499.00
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.42 / $158.30 / $1,350.00
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$449.65 / $726.48 / $3,149.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$255.50 / $262.94 / $458.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.00 / $990.98 / $1,307.65
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.46 / $387.83 / $804.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.13 / $885.26 / $1,163.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.42 / $158.30 / $202.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$460.82 / $726.48 / $960.05