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Nebraska rates for HCPCS A9516

Iodine I-123 sodium iodide, diagnostic, per 100 mcCi, up to 999 mcCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.18 / $220.21 / $368.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $455.20 / $1,461.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.40 / $103.59 / $103.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.85 / $167.40 / $260.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.98 / $224.94 / $508.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.24 / $106.24 / $159.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.13 / $169.31 / $346.34
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.85 / $171.54 / $283.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.93 / $106.24 / $127.48