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Nebraska rates for HCPCS 78215

Liver and spleen imaging; static only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.05 / $117.69 / $198.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.92 / $170.92 / $1,156.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.07 / $333.57 / $341.92
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$126.30 / $126.30 / $126.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.98 / $424.31 / $530.38
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$122.00 / $122.00 / $122.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.76 / $357.63 / $521.85
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.70 / $76.88 / $126.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.00 / $387.74 / $482.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.08 / $357.63 / $458.50