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Nebraska rates for HCPCS 79005

Radiopharmaceutical therapy, by oral administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$173.78 / $257.04 / $758.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $141.25 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $245.47 / $257.04
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $316.23 / $398.11
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$467.74 / $467.74 / $467.74
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $213.80 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $288.40 / $457.09
Midlands
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$162.18 / $186.21 / $281.84
Midlands
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$467.74 / $467.74 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $346.74