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Nebraska rates for HCPCS A9515

Choline C-11, diagnostic, per study dose up to 20 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $4,800.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,800.00 / $4,800.00 / $4,800.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $555.89 / $975.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,100.00 / $5,500.13 / $6,875.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.94 / $7,200.00 / $9,120.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,000.00 / $5,000.00 / $7,500.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,094.41 / $3,713.29 / $4,847.91
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.00 / $148.00 / $178.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,500.00 / $5,000.00 / $6,000.00