go back

Nebraska rates for HCPCS A9508

Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $812.83 / $1,380.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $501.19 / $977.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,513.56 / $2,344.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $891.25 / $5,623.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,548.82 / $2,344.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $2,344.23 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $891.25 / $891.25