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Nebraska rates for HCPCS 77404

Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 11-19Mev

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $389.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $524.81 / $524.81