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Nebraska rates for HCPCS A9521

Technetium Tc-99m Exametazime Diagnostic Per Study Dose Up To 25 Millicuries

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,645.41 / $2,056.76 / $3,552.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.41 / $1,645.41 / $1,645.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.45 / $500.30 / $975.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.64 / $1,426.26 / $1,440.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.25 / $2,327.98 / $3,688.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$802.34 / $1,834.52 / $7,712.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.97 / $1,713.97 / $2,327.98
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,524.45 / $2,366.44 / $10,777.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.53 / $2,366.44 / $3,688.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.27 / $1,713.97 / $2,570.96