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Nebraska rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.80 / $96.40 / $327.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.20 / $21.20 / $37.59
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $142.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $129.63 / $138.91