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Nebraska rates for HCPCS A9507

Indium In-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,220.17 / $7,385.30 / $9,112.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,220.17 / $4,220.17 / $4,220.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.27 / $1,111.17 / $1,122.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.13 / $2,028.15 / $3,076.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,220.17 / $7,187.97 / $8,018.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,275.21 / $5,275.21 / $7,912.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,257.66 / $1,865.44 / $3,076.06
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,426.05 / $2,001.72 / $3,076.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.45 / $5,275.21 / $5,275.21