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Nebraska rates for HCPCS 78804

Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.80 / $255.64 / $430.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$259.08 / $259.08 / $259.08
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$224.82 / $224.82 / $224.82
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.07 / $162.68 / $259.08