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Nebraska rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.20 / $343.20 / $520.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.20 / $343.20 / $3,343.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.74 / $581.01 / $1,123.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.88 / $826.79 / $852.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.00 / $953.47 / $1,331.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.00 / $780.53 / $2,470.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.00 / $312.00 / $1,502.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $1,003.65 / $2,041.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.00 / $953.47 / $1,331.20
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.40 / $884.00 / $1,060.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.39 / $312.00 / $1,014.00