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Nebraska rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.01 / $71.01 / $91.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.01 / $71.01 / $459.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.98 / $1,114.23 / $2,172.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.69 / $140.75 / $144.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.38 / $415.38 / $415.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.33 / $202.27 / $276.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.91 / $228.63 / $1,653.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.28 / $149.12 / $269.02
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.61 / $232.76 / $588.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.61 / $192.16 / $232.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.95 / $142.91 / $183.23