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Nebraska rates for HCPCS 78457

Venous thrombosis imaging, venogram; unilateral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$33.95 / $183.70 / $309.64
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$186.66 / $186.66 / $186.66
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$161.97 / $161.97 / $161.97
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$115.32 / $118.68 / $186.66