go back

Unclassified Diagnostic Radiopharmaceutical

Nebraska rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Rates data updated July 2026.

Facilitymedian $427 · 10th–90th $22$9770%10%10th90th$427$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$95.50
BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$501.19
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$38.02