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Nebraska rates for HCPCS A9500

Technetium Tc-99m sestamibi, diagnostic, per study dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.80 / $685.44 / $1,565.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.48 / $372.80 / $782.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.22 / $175.16 / $267.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.00 / $392.35 / $1,005.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.58 / $450.58 / $675.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.03 / $175.16 / $270.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.22 / $176.69 / $277.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.05 / $450.58 / $450.58