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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
$109.65 / $151.36 / $467.74
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.04 / $257.04 / $257.04
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$223.87 / $223.87 / $223.87
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$89.13 / $104.71 / $120.23
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$257.04 / $257.04 / $257.04