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Nebraska rates for HCPCS 91113

Gi Tract Imaging Intraluminal Colon I&R

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.41 / $851.41 / $851.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.41 / $851.41 / $1,231.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.80 / $2,078.69 / $3,902.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.26 / $1,350.09 / $1,818.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.25 / $1,667.67 / $2,072.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.41 / $1,416.75 / $3,943.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,418.37 / $1,807.73 / $5,839.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.90 / $1,628.56 / $2,150.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.90 / $1,486.57 / $2,072.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,529.62 / $1,854.08 / $2,272.05