go back

Nebraska rates for HCPCS A9505

Thallium Tl-201 thallous chloride, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $45.46 / $67.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $31.35 / $31.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $39.93 / $39.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.38 / $52.97 / $113.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.35 / $59.57 / $216.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $48.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.41 / $81.36 / $150.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.16 / $78.65 / $264.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.03 / $32.65 / $39.19