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Nebraska rates for HCPCS 78261

Gastric Mucosa Imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.13 / $175.13 / $175.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.13 / $175.13 / $1,208.25
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
$317.69 / $339.57 / $348.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,002.12 / $1,002.12 / $1,002.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.00 / $427.41 / $534.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $529.27 / $1,229.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.07 / $371.28 / $678.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.06 / $417.20 / $828.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.06 / $429.78 / $549.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.98 / $371.28 / $467.92