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Nebraska rates for HCPCS 78122

Whole blood volume determination, including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.76 / $103.26 / $174.05
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.04 / $113.04 / $113.04
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $100.00 / $100.00
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.65 / $67.56 / $113.04