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Nebraska rates for HCPCS A9512

Technetium Tc-99m pertechnetate, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.84 / $3.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.56 / $8.91 / $9.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $25.50 / $31.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $3.08 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $1.69 / $2.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $18.44 / $31.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.25 / $20.67 / $31.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.69 / $2.02